Epidemiology Flashcards

1
Q

What is the role of epidemiology

A

measurement of amount and distribution of disease and natural history of disease
study of causes/determinants of diseases
assess people’s risk of disease
health care needs assessment and service planning
development of preventive programmes
evaluation of interventions

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2
Q

What are the 3 things epidemiology is

A

descriptive
analytical
intervention

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3
Q

What is prevalence

A

the number of disease cases in a population at a given time

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4
Q

How do you calculate prevalence

A

number of affected individuals (cases)/total number of persons in population

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5
Q

What are prevalence estimates obtained from

A

cross sectional studies or derived from registers

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6
Q

What is incidence

A

number of new disease cases developing over a specific period of time in a defined population

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7
Q

How is incidence rate calculated

A

no.of new cases of a dis. in a period/no of individuals in the pop. at risk

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8
Q

What is incidence estimates obtained from

A

longitudinal studies or derived from registers

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9
Q

How is distribution looked at

A

when where when

OR

time place person

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10
Q

What are dental indices

A

DMFT

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11
Q

What are dental caries programs

A

SHBDEP and NDIP

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12
Q

What are epidemiological indices

A

to measure disease an appropriate index is needed

measuring for the purposes of epidemiological studies is different from recording disease for px treatment purposes

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13
Q

What are properties of an ideal index

A

clear, unambiguous, objective not subjective

ideally correspond with clinically important stages of the disease

indicate tx need

within the ability of examiners

reproducible

not time consuming

acceptable to patient

amendable to statistical analysis

allow comparison with other studies

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14
Q

What are limitations of DMF

A

teeth are extracted for reasons other than caries

influenced by access (inter proximal surface)

difficulty in differentiating fissure sealant from restorations may underestimate caries

influenced by past disease activity

cannot be used fo root caries

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15
Q

What is NDIP

A

national dental inspection program

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16
Q

What is detailed NDIP

A

= epidemiology

high level planning/evaluation of interventions

17
Q

What is the basic NDIP

A

= monitoring

monitoring/targeting interventions
informing parents/children oral health status and need for dental services

18
Q

What are the generic sources of information for adult oral health

A

general surveys : scottish health survey

specific health related surveys

19
Q

What are the dental sources of information for adult oral health

A

UK adult dental health survey

scottish adult dental health survey

20
Q

What does the adult dental health survey measure

A

total tooth loss, number of teeth and function
condition of natural teeth, restorative tx and supporting structures
social and behavioral characteristics and oral health
trends in tooth loss and the condition of natural teeth
dental attitudes and reported behavior

21
Q

What are black and minority ethnic groups dental experience

A

less likely to be edentulous and have toothache than white

22
Q

What are the indices for periodontal disease

A

plaque - debris index and plaque index

gingivitis - modified gingival index, lobene index

periodontitis index - CPITN /BPE