epidemiology Flashcards
definition of epidemiology
public health discipline basic science which studies distribution and determinants of disease in populations to control disease and illness and promote health
outbreak
epidemic limited to a localized increase in the occurrence of disease
“cluster”
endemic
aids in africa
pandemic
epidemic spread world wide
proportions
division of 2 related numbers
part over whole
ratios
division of 2 unrelated numbers
rates
division of 2 numbers with time included in denominator
incidence
new occurrence of an outcome/disesae
# of new cases of illness/ # of people at risk -always subtract out from start population those who are not at risk (those with disease already or immunized)
prevalence
existing occurrences of an outcome/disesae
includes old and new cases
total # of cases of illness/ # of people in population
pt and period prevelance (usually 1 yr latter)
incidence rate
of new cases of illness/ person-time of people at risk of illness
infectivity
infected/ # susceptible (at risk)
pathogenicity
with clinical disease/ # infected
virulence
of deaths/ # with infectious disease
crude mobrbitiy
person with disease/# persons in population
probability of outcome in exposed
A / (A+B)
probability of outcome in non exposed
C/ (C+D)
absolute risk reduction
difference btwn exposed and non exposed
relative risk reduction
ARR/R unexposed
number needed to treat
1 / ARR
always round up
make sure to put arr in decimal form
risk ratio
risk of outcome in non exposed = C/C+D
odds ratio
odds of exposure in non diseased
A X D / B X C
if ratio is greater than 1 then event/outcome is ___ likely to occur in comparison group
more
if under 1 less likely
interpreting ratios: if you get .77
then 1-.77 = 23% decreased probablitly of having outcome
if RR = 1.53
then 53% increased risk
if 2 or more, for example 2.18 for RR
then 2.18 times greater odds