health indicators Flashcards

1
Q

what are the characteristics of a good indicator ?

A
valid 
feasible 
sensitive 
specific 
reliable
relevant
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2
Q

what do morbidity frequency measures indicate ?

A

characterize the number of persons in a population who become ill or are ill at a given time

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3
Q

what is the incidence rate ?

A

no of new case of a disease occurring in a specific time
________________
number of individuals at risk of this disease

all times 1000

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4
Q

what are the two types of incidence ?

A

incidence proportion

incidence rate

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5
Q

what are synonyms for incidence proportion ?

A

attack rate
risk
probability of developing the disease
cumulative incidence

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6
Q

what does the incidence proportion measure ?

A

the number of new cases or diseased or injured over the number of individuals of the entire population at the start

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7
Q

what does the term proportion mean ?

A

that the numerator is also part of the denominator

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8
Q

what are synonyms for the incidence rate ?

A

person time rate

incidence density

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9
Q

what are the factors that increase incidence ?

A

increased risk
failure of prevention program
emergence of new risk factors
improved diagnostic methods

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10
Q

what are the factors that decrease incidence ?

A

changes in disease etiology
successes in prevention programs
enhanced resistance to the disease

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11
Q

in the setting of an outbreak which term is more often used to describe the incidence proportion ?

A

attack rate

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12
Q

what are the different types of attack rates that can be calculated ?

A

overall attack rate
secondary attack rate
food specific attack rate

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13
Q

what is the overall attack rate ?

A

number of new cases divided by the total population

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14
Q

what is the food specific attack rate ?

A

number of new vases that got ill from eating a specific food divided by the total population that ate the food

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15
Q

what is the secondary attack rate used for ?

A

used to see the difference between community transmission of a certain disease in comparison to household transmission of that same disease

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16
Q

how is the secondary transmission calculated ?

A

number of cases among contacts or primary cases
_____________________
number of total contacts

number of total contacts in the household minus the primary contacts

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17
Q

how is the attributable risk calculated ?

A

incidence in the exposed - incidence in the unexposed

all divided by incidence in the exposed

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18
Q

how is the relative risk calculated ?

A

incidence in exposed divided by incidence in unexposed

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19
Q

how is the odds ratio calculated ?

A

AD
_____
BC

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20
Q

what is the difference between prevalence and incidence ?

A

prevalence includes all cases new and old

incidence only take the new cases into consideration

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21
Q

what is the formula for prevalence ?

A

number of individuals with a disease at a specific point in time.
_________________
all individuals in that population in the same time period

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22
Q

what are the factors that decrease prevalence ?

A

improved cure rate
increased death rate
decreased incidence

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23
Q

what formula describes the relationship between incidence prevalence and disease duration ?

A

p = i*d

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24
Q

what is prevalence mainly used for ?

A

to estimate the magnitude or the burden of health problems

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25
is prevalence or incidence used for the measurement of chronic disease?
prevalence
26
what is incidence mainly used for ?
estimate the risk of developing illness
27
what are mortality measures ?
how many people die in a specific place and time
28
how is the crude death calculated ?
number of deaths in a sp place and time _______________________________ mid year population in the same year and place
29
what is the disadvantage of crude death rate ?
doesn't take into account that the chance of dying varies according to age sex and race and other factors
30
what are the types of age-specific deaths ?
infant mortality rate child mortality rate still birth rate perinatal mortality rate
31
how is the infant mortality rate calculated ?
total number of infant deaths _______________________. x1000 total live births in the same year
32
what is considered an infant ?
children under 1 year
33
what is a neonate ?
children under 4 weeks
34
what is infant mortality rate a good measure of ?
health status of a community | quality of health services provided
35
how is the neonatal mortality rate calculated ?
total number of neonatal deaths ____________ total live births
36
what is the post neo-natal period ?
more than 4 weeks and less than 12 months
37
what are the main causes of neonatal mortality ?
biological actors
38
what are the main causes of post-neonatal mortality ?
due to infectious diseases
39
what age group does the child mortality refer to ?
children under 5 years of age
40
what are the more common causes of child mortality ?
injuries malnutrition infectious disease
41
what does the fetal death rate describe ?
the still birth rate is the number of still births over the total births
42
what time period applies to the fetal death rate ?
more than 28 weeks of gestation
43
what is the main cause of fetal death rates or still births ?
congenital malformations
44
what is the main cause of perinatal mortality rate ?
congenital malformations | birth injuries
45
what is the cause specific mortality rate ?
rate at which deaths occur from a specific disease
46
what is the formula for cause-specific mortality rate ?
total deaths due to a certain disease in a year _____________________ mid year population inn the same year and locality
47
what is the proportionate death rate ?
the number of deaths form a specific disease to the total deaths
48
what is the proportionate death rate used for ?
used to prioritise preventative measures
49
what is the case fatality rate ?
rate at which deaths from a certain disease happens among individuals who have the disease
50
what is the case fatality rate an indicator of ?
the severity of the disease
51
how is the maternal mortality rate calculated ?
number of deaths related to maternity causes ___________________ number of live births
52
what is the crude birth rate ?
number of live births _______________ mid year population
53
where does the numerator from the crude birth rate come form ?
vital statistics
54
where does the denominator in the crude birth rate come from ?
census or estimated census data
55
how is the general fertility rate calculated ?
number of live births in a year _____________________ total number of women in that year women between 15-49
56
how is the fecundity rate calculated ?
number of live births __________________- total number of married woman
57
how is the age specific fertility rate calculated ?
number of live births for women between 25 to 30 years ____________________________________ number of women between 25 to 30
58
how is the total fertility rate calculated ?
child bearing period is divided into 5 year age groups age specific fertility rate is calculated for each age group added up tohether
59
what does the fertility rate represents ?
the number of children that would be born to a woman if : she lived till the end of her child bearing period bear children according to age-specific fertility rates
60
what does the gross reproduction rate measure ?
the replacement of the female population only
61
how is the gross reproduction rate calculated ?
the total fertility rate is multiplied by the percentage of females in the live births
62
what is the net reproduction rate ?
similar to gross reproduction rate but with bearing that not all women will live until the end of their child bearing age
63
how is the net reproduction rate calculated ?
taking the age specific fertility and multiply it by its corresponding age-specific survival rate
64
what is the ultimate family planning goal for net reproduction rate ?
the goal is for the net reproduction rate to be 0