Epi Methods 751 Flashcards
Occurrence & distribution of health-related events, states, & processes in specified populations; important for monitoring disease & risk factor burden, directing funding, assessing interventions/programs, identifying new health problems
Descriptive Epidemiology
Study of determinants influencing processes
Analytical Epidemiology
Sizeable aggregate of people who satisfy particular set of membership criteria; defined by person, place, & time
Population
Able to experience & measure outcome of interest; biologically susceptible & methodologically under observation
At Risk
Graphical depiction of times of onset of disease in population
Epidemic Curve
Interval from origin to time of onset of clinical illness; summarized as mean/median or graphed
Incubation Period
Cumulative incidence; proportion of study population who become cases & develop disease by certain time
Attack Rate
Persons exposed to same exposure over limited, defined period of time (1 incubation period); shape of curve rises rapidly, contains definite peak, & gradual decline; cases may appear as wave (secondary transmission)
Point Source Epidemic
Cases of disease serve as source of infection for subsequent cases, which then serve as sources for later cases; shape of curve is series of successively larger peaks until pool of susceptibles exhausted or control measures implemented
Propagated Epidemic
Substances whose presence/absence may initiate or perpetuate disease process vs. characteristics of individuals (modifiable & non-modifiable) vs. all other social, economic, & biological factors impacting health
Agent-Host-Environment Model
Examines how humans interact with each aspect of environment; identify inter-relationships for single & multi-level models
Social-Ecological Framework
Loss or attrition of subjects from follow-up; occurrence of event uncertain after this time; reasons include loss to follow-up, competing risk, administrative censoring (end of study)
Censoring
Group to whom inferences will be made; theoretical; define by person, place, & time
Target Population
Group from whom study population drawn; well-defined & enumerable; define by person, place, & time
Source Population
Group studied; must be well-defined & enumerated; define by person, place, & time
Study Population
Disease that hasn’t yet developed signs or symptoms & cannot be detected or diagnosed by test; theoretical
Preclinical Outcomes
Disease detectable by specific tests but doesn’t yet manifest signs or symptoms; surrogate for clinical disease; may be earlier in disease process (closer to causal pathway)
Subclinical Outcomes
Disease that manifests signs or symptoms; results more interpretable & applicable to clinical practice; later in disease process
Clinical Outcomes
Timely & under investigator control; quality & consistency may be improved; more representative; costly & resource intensive; difficult to sustain
Active Ascertainment
Dependent on data collected by others; less representative; less costly; easier to sustain; easier to cover large areas
Passive Ascertainment