HOSA Epidemiology Flashcards

1
Q

What is the primary focus of epidemiology?

A

Study of disease distribution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which type of study is used to investigate outbreaks of infectious diseases?

A

Outbreak investigation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is one of the main goals of the CDC’s disaster epidemiology?

A

Prevent injuries and deaths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which agency provides fact sheets on infectious diseases?

A

WHO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name a key component of environmental medicine education resources.

A

Response to environmental hazards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the primary objective of a cross-sectional study in epidemiology?

A

To assess the prevalence of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which organization provides guidelines on measuring health and disease?

A

World Health Organization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the first step in responding to patients exposed to environmental hazards?

A

Assess the exposure level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which type of epidemiological study is best for establishing causation?

A

Randomized controlled trial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a crucial element of disaster epidemiology according to the CDC?

A

Rapid needs assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which resource provides an introduction to basic epidemiology concepts?

A

PH 101 Series

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the role of applied research in disaster settings?

A

To prevent injuries and deaths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which career focuses on the study of disease spread in populations?

A

Epidemiologist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a common method used in measuring disease frequency?

A

Incidence rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What kind of information is provided by WHO Fact Sheets?

A

Infectious diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the main focus of environmental medicine?

A

Response to environmental hazards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How does the CDC utilize surveillance in disaster settings?

A

To monitor health-related events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does the term “epidemiology” primarily refer to?

A

Study of disease distribution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

In what scenario would a case-control study be most effective?

A

Investigating rare diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which component is essential for rapid needs assessment in disasters?

A

Timely data collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the purpose of public health careers?

A

Protecting and improving community health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How is the prevalence of a disease calculated?

A

Total cases/total population

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What type of epidemiological study involves following a group over time?

A

Cohort study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is a key goal of the CDC’s field investigations?

A

Identify the source of disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Which element is crucial for effective consultation and training in disaster epidemiology?

A

Knowledge transfer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the main aim of the WHO’s Basic Epidemiology guide?

A

Educate about health and disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How does measuring incidence differ from prevalence?

A

Incidence refers to new cases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Which study design is used to compare individuals with and without a disease?

A

Case-control study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is an essential characteristic of a randomized controlled trial?

A

Random allocation of participants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

How do WHO Fact Sheets assist in public health?

A

Provide reliable disease information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is the primary concern of environmental medicine?

A

Exposure to environmental hazards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What is the goal of surveillance in disaster epidemiology?

A

Monitor health trends

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

How can a cohort study be described?

A

Following a group over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What is a key aspect of public health careers?

A

Community health improvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Which organization is responsible for global health guidelines?

A

World Health Organization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What is the primary difference between active and passive surveillance systems?

A

Active requires proactive data collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Explain the primary objective of an ecological study in epidemiology.

A

Analyze population-level data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What statistical measure is used to quantify the risk associated with exposure?

A

Relative Risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Which type of bias is most likely to occur in a case-control study?

A

Recall bias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What is the primary disadvantage of using cross-sectional studies for causation?

A

Temporal ambiguity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

How does the Bradford Hill criteria assist in epidemiological studies?

A

Establish causal relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Which factor is crucial for determining the sample size in a cohort study?

A

Expected incidence rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What is the significance of a p-value in epidemiological research?

A

Indicates statistical significance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

In disaster epidemiology, what is the role of rapid needs assessment?

A

Identify urgent health needs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Which type of epidemiological study is best suited for studying rare diseases?

A

Case-control study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

How is confounding controlled in epidemiological studies?

A

Randomization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What is the primary function of disease registries in epidemiology?

A

Track disease patterns over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Describe the difference between incidence density and cumulative incidence.

A

Incidence density accounts for time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Which method is used to analyze the spread of a disease over time and space?

A

Spatial-temporal analysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What is the main challenge in using ecological data for individual-level inferences?

A

Ecological fallacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

In what way does a randomized controlled trial differ from an observational study?

A

Manipulation of variables

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

How does the CDC apply epidemiology in disaster settings?

A

Conduct field investigations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What is the importance of blinding in a study?

A

Reduce bias from participants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

How are cohort studies advantageous over case-control studies?

A

Less susceptible to bias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Explain the concept of “dose-response” in epidemiology.

A

Relationship between exposure and effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

What is a potential drawback of using self-reported data in epidemiological studies?

A

Susceptibility to recall bias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

How does the concept of “herd immunity” relate to epidemiology?

A

Reduces disease spread in populations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

What is the significance of “confidence intervals” in research findings?

A

Indicate precision of estimates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

What is one method used to address confounding in study designs?

A

Stratification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

How does a nested case-control study differ from a traditional case-control study?

A

Cases and controls come from a cohort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Which concept explains the reduction in disease incidence due to a vaccine?

A

Herd immunity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

What is the primary objective of a systematic review in epidemiology?

A

Summarize existing research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Describe an advantage of using a meta-analysis.

A

Combine results for stronger evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

How can publication bias impact epidemiological research?

A

Overrepresentation of positive findings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

What is a distinguishing feature of a double-blind study?

A

Both participants and researchers unaware

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

How does the concept of “attrition bias” affect study results?

A

Loss of participants affects validity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

What is the primary purpose of using a control group in research?

A

Provide a baseline for comparison

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

How can researchers mitigate the effects of selection bias?

A

Randomization of participants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

What is a key challenge in the interpretation of longitudinal data?

A

Attrition over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

How does the concept of “specificity” apply to diagnostic tests?

A

Ability to identify true negatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

What is a potential issue with using convenience sampling?

A

Susceptibility to sampling bias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

How is a “case-fatality rate” defined in epidemiology?

A

Proportion of deaths among cases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

What is the role of “external validity” in research findings?

A

Generalizability to other settings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

What is a limitation of using historical data in epidemiological studies?

A

Potential for incomplete or biased data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

How does the “Hawthorne effect” influence study outcomes?

A

Participants alter behavior due to observation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

What statistical method can be used to assess the relationship between multiple variables?

A

Multivariate analysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

What is a key consideration when designing a questionnaire for data collection?

A

Minimizing bias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

How does the “placebo effect” impact clinical trials?

A

Participants experience changes without active treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

What is the purpose of “stratified sampling” in research?

A

Ensures representation of subgroups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

How can “information bias” be minimized in epidemiological studies?

A

Standardized data collection procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

What is the impact of “lead-time bias” on survival rates in screening programs?

A

It artificially inflates survival times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

How does “Berkson’s bias” affect hospital-based studies?

A

Overestimates association strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

What is the primary concern when using surrogate endpoints in trials?

A

They may not accurately reflect actual outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

Why is “intention-to-treat analysis” important in clinical trials?

A

Preserves randomization benefits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

How can “recall bias” distort findings in retrospective studies?

A

Differential accuracy of recalled information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

What is a limitation of using “proxy respondents” in data collection?

A

They may not accurately represent the participant’s experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q

How does “confounding by indication” occur in observational studies?

A

Treatment choice is influenced by disease severity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

What is the purpose of “propensity score matching” in observational studies?

A

To reduce confounding by equating groups on covariates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q

How can “publication bias” be minimized in systematic reviews?

A

Including unpublished studies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

What is the significance of a “forest plot” in meta-analysis?

A

It visually summarizes study estimates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
91
Q

How does “selection bias” affect cohort studies?

A

It can lead to non-representative samples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
92
Q

What is the impact of “misclassification bias” on study results?

A

It distorts the true association between exposure and outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
93
Q

How can “ecological fallacy” mislead interpretations of data?

A

It assumes population-level data applies to individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
94
Q

Why is “power analysis” crucial in study design?

A

To determine the necessary sample size for detecting an effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
95
Q

How does “attrition” affect the validity of longitudinal studies?

A

Loss of participants over time can bias results

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
96
Q

What is a challenge of using “historical controls” in research?

A

Differences in data collection methods over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
97
Q

How is “effect modification” identified in epidemiological studies?

A

By interaction between a third variable and the exposure-outcome relationship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
98
Q

What does “heterogeneity” indicate in meta-analysis findings?

A

Variability in study outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
99
Q

How can “overmatching” in case-control studies obscure true associations?

A

By controlling for variables related to both exposure and outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
100
Q

What is the role of “sensitivity analysis” in epidemiological research?

A

To assess the robustness of study conclusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
101
Q

How does “reverse causation” pose a challenge in observational studies?

A

The outcome may influence the exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
102
Q

What is the significance of a “confidence interval” that includes zero in a study’s findings?

A

It suggests a lack of statistical significance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
103
Q

How does “loss to follow-up” affect cohort study results?

A

It can bias the estimated association between exposure and outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
104
Q

What is the importance of “inter-rater reliability” in data collection?

A

Ensures consistency in measurements across different observers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
105
Q

How can “time-varying confounding” complicate longitudinal study analyses?

A

When confounders change over time and affect exposure and outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
106
Q

What is the role of “risk difference” in epidemiological studies?

A

It measures the absolute change in risk between groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
107
Q

Why is “blinding” crucial in randomized controlled trials?

A

To prevent bias from influencing participants and researchers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
108
Q

How does “survivorship bias” affect study conclusions?

A

By focusing only on those who have survived, skewing results

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
109
Q

What is the primary objective of “regression analysis” in epidemiology?

A

To evaluate the relationship between variables

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
110
Q

How can “attrition bias” be minimized in longitudinal studies?

A

By maintaining participant engagement and follow-up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
111
Q

What is the impact of “information bias” on epidemiological research?

A

It can lead to inaccurate estimates of exposure or outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
112
Q

How does “confounding by lifestyle” occur in observational studies?

A

When lifestyle factors affect both exposure and outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
113
Q

What is the significance of a “P-value” less than 0.05 in research?

A

It indicates statistical significance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
114
Q

How is “interaction” assessed in epidemiological studies?

A

Through statistical tests exploring joint effects of variables

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
115
Q

What is a potential consequence of “overadjustment” in regression models?

A

It may obscure true relationships by removing variability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
116
Q

Why is “external validity” a consideration in study findings?

A

To ensure findings are applicable to other populations and settings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
117
Q

How does “non-differential misclassification” affect study results?

A

It biases results toward the null hypothesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
118
Q

What is the purpose of “subgroup analysis” in clinical trials?

A

To explore differences in treatment effects among specific groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
119
Q

What is the implication of “null hypothesis” rejection in research?

A

Evidence suggests a significant effect exists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
120
Q

How can “measurement error” impact epidemiological studies?

A

It can lead to biased estimates of exposure or outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
121
Q

What is the impact of “underpowered studies” in research findings?

A

They may fail to detect true effects due to small sample sizes

122
Q

How does “protopathic bias” occur in observational studies?

A

When treatment is initiated for symptoms of an undiagnosed disease

123
Q

Why is “internal validity” crucial in epidemiological research?

A

To ensure the study accurately reflects the true relationship between variables

124
Q

How does “immortal time bias” affect cohort study results?

A

Misclassification of exposure time as unexposed

125
Q

What are the implications of “left-censoring” in survival analysis?

A

Biases survival estimates by excluding early events

126
Q

How can “multiple testing” inflate type I error rates in epidemiological studies?

A

By increasing the likelihood of false positives

127
Q

What is the primary concern when using “composite endpoints” in clinical trials?

A

They may obscure individual component effects

128
Q

How does “regression to the mean” affect study outcomes?

A

Extreme values are likely to be less extreme on subsequent measurement

129
Q

How can “competing risks” complicate the analysis of survival data?

A

They may prevent the occurrence of the event of interest

130
Q

How does “endogeneity” complicate causal inference in observational studies?

A

When predictor and error term are correlated

131
Q

What is the impact of “surveillance bias” on study findings?

A

Increased detection of outcomes due to increased surveillance

132
Q

How can “period effects” confound longitudinal study results?

A

Changes in outcome related to specific time periods

133
Q

What is the significance of “inverse probability weighting” in observational studies?

A

Addresses confounding by creating a pseudo-population

134
Q

How does “latent variable modeling” assist in handling measurement error?

A

By estimating the unobserved variable through observed indicators

135
Q

Why is “finite population correction” necessary in sampling?

A

Corrects for sampling without replacement from a finite population

136
Q

What is the role of “bootstrapping” in statistical analysis?

A

Estimates the sampling distribution by resampling with replacement

137
Q

How does “time-lag bias” affect the interpretation of cumulative meta-analyses?

A

Delayed publication of studies with negative results

138
Q

What is the consequence of “collider stratification bias” in causal inference?

A

Conditioning on a collider introduces bias

139
Q

How can “non-response bias” skew survey-based study results?

A

Differences in characteristics between responders and non-responders

140
Q

How does “truncation” affect the validity of survival analyses?

A

Excludes individuals from analysis based on their survival time

141
Q

What is the purpose of “sensitivity analysis” in dealing with unmeasured confounders?

A

Evaluates how results change under different assumptions

142
Q

How does “variance inflation factor” (VIF) aid in detecting multicollinearity?

A

Quantifies how much variance is inflated due to multicollinearity

143
Q

What is the impact of “digit preference bias” in epidemiological data?

A

Rounding or reporting errors due to preference for certain numbers

144
Q

How can “g-methods” like g-formula, g-estimation, and IPW address time-varying confounding?

A

They estimate causal effects in the presence of time-varying confounders

145
Q

How does “ecological bias” arise in group-level studies?

A

Incorrectly attributing group-level associations to individuals

146
Q

What is the role of “marginal structural models” in epidemiological research?

A

They adjust for time-dependent confounding in longitudinal studies

147
Q

How can “partial verification bias” skew diagnostic test evaluations?

A

When only a subset of individuals receive the gold standard test

148
Q

What is the effect of “lead-time bias” in evaluating screening programs?

A

It can make survival appear longer than it actually is

149
Q

How does “attrition” impact the results of longitudinal cohort studies?

A

Attrition can lead to biased estimates if not random

150
Q

What is the consequence of “observer bias” in data collection?

A

Systematic differences in data collection between groups

151
Q

How can “cluster sampling” introduce biases in epidemiological studies?

A

It may result in non-representative samples if clusters are not similar

152
Q

What is the purpose of “propensity score analysis” in observational studies?

A

To reduce bias by equating groups based on covariates

153
Q

How does “incidence-prevalence bias” affect cross-sectional studies?

A

It may lead to overrepresentation of long-duration cases

154
Q

How does “non-differential misclassification” affect epidemiological findings?

A

It tends to bias results toward the null hypothesis

155
Q

What is the impact of “overdispersion” in Poisson regression models?

A

It leads to underestimated standard errors and overly narrow confidence intervals

156
Q

How does “inverse probability weighting” address confounding in observational studies?

A

By creating a pseudo-population where confounding is balanced

157
Q

How can “ecological fallacy” mislead interpretations of group-level data?

A

Assuming population-level associations apply at the individual level

158
Q

What is “confounding by indication” and how does it affect observational studies?

A

When treatment is prescribed based on disease severity, causing bias

159
Q

How does “immortal time bias” influence observational study results?

A

It can lead to an overestimation of treatment effects

160
Q

What is the purpose of “instrumental variable analysis” in epidemiology?

A

To estimate causal effects when randomization is not possible

161
Q

How does “confounding by indication” occur in observational studies?

A

When the treatment choice is influenced by the patient’s condition

162
Q

How is “multicollinearity” detected in regression models?

A

By examining high variance inflation factors (VIF)

163
Q

What is the significance of “temporal trends” in longitudinal studies?

A

They may confound the association between exposure and outcome

164
Q

How does “detection bias” arise in epidemiological studies?

A

Differences in outcome detection between study groups

165
Q

How can “overmatching” in case-control studies obscure true associations?

A

By controlling for variables related to both exposure and outcome

166
Q

What is the impact of “survivorship bias” on study conclusions?

A

Focusing only on those who have survived can skew results

167
Q

How does “regression to the mean” affect the interpretation of study outcomes?

A

Extreme values tend to normalize on subsequent measurements

168
Q

What is the role of “propensity score matching” in reducing bias in observational studies?

A

It equates groups on observed covariates to reduce bias

169
Q

How can “non-differential misclassification” affect the results of epidemiological studies?

A

It tends to bias results toward the null hypothesis

170
Q

How does “confounding by severity” complicate treatment outcome interpretations?

A

Treatment decisions based on severity may distort effects

171
Q

What is the consequence of “secular trends” in epidemiological studies?

A

They can obscure the true association between exposure and outcome

172
Q

How can “non-compliance” in a randomized controlled trial affect validity?

A

It may lead to biased estimates of treatment effect

173
Q

Why is “propensity score calibration” used in observational studies?

A

To adjust for residual confounding not captured by measured covariates

174
Q

What is the impact of “temporal clustering” on disease outbreak investigations?

A

It may suggest a false association between exposure and disease

175
Q

How does “differential attrition” affect longitudinal studies?

A

It can introduce bias if loss to follow-up is related to exposure or outcome

176
Q

How can “spatial autocorrelation” complicate the analysis of geospatial data?

A

Nearby locations may have similar values, violating independence assumptions

177
Q

What is the purpose of using “instrumental variables” in causal inference?

A

To estimate causal effects when randomization is not feasible

178
Q

How does “left truncation” affect survival analysis?

A

It may bias estimates by excluding individuals who experienced the event before a certain time

179
Q

What is the effect of “measurement error” in exposure assessment?

A

It can bias the estimated association between exposure and outcome

180
Q

How can “latent class analysis” aid in identifying unobserved subgroups?

A

By categorizing individuals into mutually exclusive classes based on response patterns

181
Q

How does “sample selection bias” occur in epidemiological research?

A

When the study sample is not representative of the population

182
Q

What is the purpose of “quantile regression” in statistical analysis?

A

To estimate the relationship between variables at different points in the distribution

183
Q

How does “reverse causation” affect interpretations in observational studies?

A

The outcome may influence the exposure, rather than the reverse

184
Q

How can “cross-level bias” mislead multilevel modeling results?

A

By incorrectly attributing effects to the wrong level of analysis

185
Q

What is the impact of “heteroscedasticity” on regression analysis?

A

It can lead to inefficient and biased estimates

186
Q

How does “density sampling” control for time in nested case-control studies?

A

By matching controls to cases on time of entry into the cohort

187
Q

What is the effect of “recall bias” in retrospective studies?

A

Differential accuracy of recalled information can bias results

188
Q

How can “intermediate variables” complicate causal pathway analysis?

A

They may mediate the relationship between exposure and outcome, obscuring direct effects

189
Q

What is the consequence of “model overfitting” in predictive analytics?

A

The model may perform well on training data but poorly on new data

190
Q

How does “missing data” impact the validity of epidemiological studies?

A

It can introduce bias if the missingness is related to exposure or outcome

191
Q

What is the significance of “Bayesian inference” in epidemiology?

A

It provides a probabilistic framework for updating beliefs in light of new data

192
Q

How can “non-differential misclassification” affect epidemiological results?

A

It tends to bias estimates toward the null hypothesis

193
Q

What is the role of “geocoding” in spatial epidemiology?

A

To assign geographic coordinates to data for spatial analysis

194
Q

How does “immortal person-time” influence cohort study results?

A

It can lead to overestimation of treatment effects by including unexposed time as exposed

195
Q

What is the impact of “multiple imputation” in handling missing data?

A

It reduces bias by creating multiple complete datasets for analysis

196
Q

How does “endogeneity” complicate causal inference in observational studies?

A

When the predictor variable is correlated with the error term

197
Q

What is the consequence of “non-collapsibility” in odds ratios?

A

Odds ratio can change when adjusting for covariates, even without confounding

198
Q

How can “specification error” affect regression model accuracy?

A

Incorrect model assumptions can lead to biased and inconsistent estimates

199
Q

What is the purpose of “marginal structural models” in epidemiological research?

A

To estimate causal effects in the presence of time-dependent confounding

200
Q

How does “non-response bias” influence survey results?

A

Differences in characteristics between respondents and non-respondents can bias results

201
Q

What is the effect of “differential misclassification” on study outcomes?

A

It can lead to biased estimates and incorrect conclusions

202
Q

How can “intermediate variables” obscure the direct effect in causal pathways?

A

They mediate the relationship between exposure and outcome, complicating analysis

203
Q

How does “left censoring” affect the analysis of survival data?

A

It can bias estimates by excluding subjects who experienced the event before the study began

204
Q

What is the significance of “latent variable modeling” in dealing with measurement error?

A

It estimates unobserved variables through observed indicators

205
Q

How does “survivorship bias” affect the interpretation of cohort study results?

A

Focusing on surviving individuals can skew results and overlook failures

206
Q

What is the impact of “model misspecification” in statistical analysis?

A

It can lead to biased and inconsistent parameter estimates

207
Q

How can “instrumental variable analysis” address confounding in observational studies?

A

By using instruments to estimate causal effects when randomization is not possible

208
Q

What is the purpose of “inverse probability weighting” in longitudinal studies?

A

To create a pseudo-population where confounding is balanced

209
Q

How does “differential loss to follow-up” affect longitudinal study validity?

A

It can bias results if related to both exposure and outcome

210
Q

What is the significance of “spatial autocorrelation” in geospatial analysis?

A

It indicates similarity of values at nearby locations, affecting independence assumptions

211
Q

How does “digit preference bias” impact the accuracy of self-reported data?

A

Rounding errors due to preferences for certain numbers can skew results

212
Q

What is the role of “marginal structural models” in dealing with time-dependent confounding?

A

They estimate causal effects by adjusting for confounders that vary over time

213
Q

How can “population stratification” confound genetic association studies?

A

Differences in allele frequencies between subpopulations can mimic genetic associations

214
Q

How does “confounding by indication” affect observational study interpretations?

A

It occurs when treatment choice is influenced by prognosis, leading to bias

215
Q

What is the impact of “non-collapsibility” on interpreting odds ratios?

A

Odds ratios may change with adjustment, even without confounding

216
Q

How can “density dependence” in population studies lead to biased conclusions?

A

Population growth rates depend on population density, influencing resource availability

217
Q

What is the consequence of “measurement bias” in epidemiological data collection?

A

Systematic errors can lead to incorrect estimation of exposure or outcome

218
Q

How do “time-varying covariates” complicate survival analysis?

A

They require advanced modeling techniques to account for changes over time

219
Q

What is the purpose of “counterfactual reasoning” in causal inference?

A

To compare observed outcomes with hypothetical scenarios to estimate causal effects

220
Q

How does “systematic sampling error” occur in epidemiological research?

A

It arises from consistent errors in the sampling process, leading to biased estimates

221
Q

How can “time-dependent confounding” bias causal estimates in longitudinal studies?

A

Confounders that change over time can distort the exposure-outcome relationship

222
Q

What is the impact of “missing data mechanisms” on statistical analysis?

A

Different mechanisms (MCAR, MAR, MNAR) require different handling strategies to avoid bias

223
Q

How does “multilevel modeling” address hierarchical data structures in epidemiology?

A

By accounting for data clustering at different levels, reducing bias

224
Q

What is the role of “propensity scores” in addressing selection bias?

A

They equate groups on observed covariates to reduce bias in observational studies

225
Q

How can “spatial heterogeneity” in exposure lead to biased epidemiological estimates?

A

Variability in exposure across locations can confound associations with outcomes

226
Q

What is the consequence of “information leakage” in randomized controlled trials?

A

It can lead to bias if information about group assignments is inadvertently shared

227
Q

How does “inverse probability weighting” handle time-varying confounding in cohort studies?

A

By weighting individuals inversely to their probability of receiving treatment, balancing confounders

228
Q

What is the significance of “latent variable models” in handling complex data structures?

A

They allow for the estimation of unobserved variables influencing observed data

229
Q

How can “overadjustment” in statistical models obscure true associations?

A

By controlling for variables that are intermediates or colliders, distorting the causal path

230
Q

What is the role of “survival analysis” in handling censored data?

A

It models time-to-event data accounting for right-censoring and time-varying covariates

231
Q

How does “attrition bias” affect the validity of randomized controlled trials?

A

Differential loss to follow-up can bias treatment effect estimates

232
Q

What is the impact of “exposure misclassification” on study results?

A

It can lead to biased estimates of the association between exposure and outcome

233
Q

How can “heteroscedasticity” complicate regression analysis?

A

Non-constant variance across observations can lead to inefficient estimates

234
Q

What is the purpose of “stratified randomization” in clinical trials?

A

To ensure balance of important covariates across treatment groups

235
Q

How does “immortal time bias” arise in cohort studies?

A

When unexposed person-time is incorrectly classified as exposed, inflating treatment effect

236
Q

What is the significance of “inverse probability of treatment weighting” in causality?

A

It creates a pseudo-population that balances confounders across treatment groups

237
Q

How can “non-differential misclassification” affect the strength of observed associations?

A

It generally biases associations toward the null, weakening observed relationships

238
Q

What is the role of “Cox proportional hazards model” in survival analysis?

A

It estimates the hazard ratio for covariates while accounting for censored data

239
Q

How does “confounding by calendar time” distort epidemiological findings?

A

Temporal changes unrelated to the exposure can confound associations with outcomes

240
Q

What is the impact of “spatial autocorrelation” on geostatistical analyses?

A

It violates independence assumptions, affecting the validity of statistical inferences

241
Q

How can “selection bias” occur in retrospective cohort studies?

A

When selection of participants is related to both exposure and outcome, biasing results

242
Q

What is the consequence of “collider bias” in causal inference?

A

Conditioning on a common effect of two variables can induce a spurious association

243
Q

How does “digit preference bias” arise in self-reported health data?

A

Rounding or clustering at preferred numbers leads to inaccurate reports

244
Q

What is the role of “g-estimation” in addressing time-varying confounding?

A

It estimates causal effects by simulating potential outcomes under different interventions

245
Q

How can “loss to follow-up” impact the results of longitudinal studies?

A

It can lead to biased estimates if related to both exposure and outcome

246
Q

What is the impact of “confounding by indication” on treatment effect estimates?

A

It biases estimates when treatment choice is related to prognosis

247
Q

How does “interaction” complicate the analysis of epidemiological data?

A

It indicates that the effect of one variable depends on the level of another

248
Q

What is the purpose of “instrumental variable analysis” in observational studies?

A

To estimate causal effects when confounding is present and randomization is not possible

249
Q

How can “missing data” mechanisms affect the conclusions of a study?

A

Different mechanisms (MCAR, MAR, MNAR) require specific handling to avoid biased results

250
Q

What is the consequence of “spatial heterogeneity” in exposure assessment?

A

It can lead to biased exposure-outcome associations if not properly accounted for

251
Q

How does “temporal bias” affect the interpretation of time-to-event data?

A

Changes in risk over time can confound the association between exposure and outcome

252
Q

What is the significance of “latent variable models” in complex causal pathways?

A

They estimate the influence of unobserved factors on observed variables

253
Q

How does “attrition bias” arise in randomized controlled trials?

A

Differential dropout rates between treatment groups can bias results

254
Q

What is the role of “Bayesian hierarchical models” in multi-level data analysis?

A

They provide a framework for modeling data with complex dependency structures

255
Q

How can “overfitting” affect the predictive accuracy of statistical models?

A

The model may capture noise rather than true signal, reducing generalizability

256
Q

What is the impact of “regression to the mean” in repeated measures?

A

It can lead to spurious associations if not properly accounted for

257
Q

How does “density-dependent selection” influence population dynamics?

A

Competition for resources leads to selection pressures based on population density

258
Q

How does “Mendelian randomization” help infer causality in observational studies?

A

Uses genetic variants as proxies for modifiable exposures to infer causality

259
Q

What is the effect of “temporal misalignment” in spatio-temporal epidemiological models?

A

It can lead to biased estimates when spatial and temporal data are not synchronized

260
Q

How does “case-crossover design” address transient exposures in epidemiology?

A

It compares exposure status during “hazard” period to control periods within the same individual

261
Q

What is the role of “causal diagrams” (DAGs) in epidemiological research?

A

They help visualize and identify potential sources of bias and confounding

262
Q

How can “survival bias” affect the interpretation of longevity studies?

A

By focusing on those who survive longer, potentially skewing results

263
Q

What is the consequence of “ecological bias” in group-level epidemiological studies?

A

It can lead to incorrect inferences if group-level data is applied to individuals

264
Q

How does “bias amplification” occur in epidemiological research?

A

When flawed data collection or analysis methods exaggerate existing biases

265
Q

What is the significance of “non-inferiority trials” in clinical research?

A

They determine if a new treatment is not worse than an existing treatment by a specified margin

266
Q

How can “genetic confounding” obscure associations in genome-wide association studies (GWAS)?

A

Genetic variants linked to multiple traits may confound associations

267
Q

What is the purpose of “directed acyclic graphs” (DAGs) in causal inference?

A

They map out causal relationships to identify confounders and biases

268
Q

How does “left truncation” affect the analysis of cohort data?

A

It excludes individuals who experience the event before study entry, potentially biasing results

269
Q

What is the impact of “information bias” in self-reported data?

A

It can lead to systematic errors in estimating exposure or outcome due to inaccurate recall

270
Q

How does “transmission heterogeneity” influence infectious disease modeling?

A

Variation in how individuals transmit disease can affect outbreak dynamics

271
Q

How can “selection on the dependent variable” introduce bias in study conclusions?

A

By selecting cases based on outcomes, leading to biased associations

272
Q

What is the role of “propensity score stratification” in observational studies?

A

It divides the sample into strata based on propensity scores to control for confounding

273
Q

How does “survivorship bias” affect studies of historical data?

A

By focusing on data from entities that survived, potentially skewing results

274
Q

What is the consequence of “measurement error” in exposure assessment?

A

It can lead to misclassification and biased estimates of exposure-outcome relationships

275
Q

How can “spatial interpolation” assist in epidemiological mapping?

A

It estimates values for locations without data, aiding in visualizing spatial patterns

276
Q

What is “overdispersion” and how does it affect Poisson regression models?

A

Greater variability in data than expected, leading to underestimated standard errors

277
Q

How does “non-response bias” impact the validity of survey-based studies?

A

Differences in characteristics between responders and non-responders can bias results

278
Q

What is the role of “sensitivity analysis” in evaluating robustness of epidemiological findings?

A

To assess how results change under different assumptions or scenarios

279
Q

How can “exposure misclassification” lead to bias in epidemiological studies?

A

It causes inaccuracies in categorizing exposure status, potentially distorting associations

280
Q

What is the impact of “temporal trends” in longitudinal epidemiological studies?

A

They can confound associations if changes over time are not correctly modeled

281
Q

How does “spatial clustering” affect the interpretation of disease incidence data?

A

It may indicate non-random distribution of cases, suggesting potential sources

282
Q

What is “cross-level bias” and how does it occur in multilevel models?

A

It arises when effects at one level are incorrectly attributed to another, skewing results

283
Q

How can “instrumental variable analysis” mitigate confounding in non-experimental studies?

A

By using instruments that influence exposure but not outcome directly, to estimate causal effects

284
Q

What is the consequence of “digit preference bias” in epidemiological surveys?

A

It leads to rounding errors due to preferences for certain numbers, affecting accuracy

285
Q

How does “ascertainment bias” affect case-control study results?

A

Differential detection of cases and controls can bias the estimated association

286
Q

What is the significance of “latent class analysis” in identifying unobserved population subgroups?

A

It classifies individuals into distinct groups based on response patterns, revealing hidden structure

287
Q

How can “density sampling” reduce bias in nested case-control studies?

A

By matching controls to cases on time of entry into the cohort, controlling for time

288
Q

What is the effect of “seasonal variation” on disease incidence data?

A

It can introduce periodic changes in incidence, confounding associations if not modeled

289
Q

How does “time-varying covariate” complicate survival analysis?

A

It requires models that account for changes in covariates over time to avoid bias

290
Q

What is the role of “inverse probability of censoring weights” in survival analysis?

A

They adjust for informative censoring, helping to recover unbiased estimates

291
Q

How can “geographic information systems” (GIS) enhance epidemiological research?

A

They provide tools for mapping and analyzing spatial data, revealing patterns and relationships

292
Q

What is the impact of “heteroscedasticity” on linear regression models?

A

It leads to inefficient and biased estimates, as variance is non-constant across observations

293
Q

How does “left censoring” affect the analysis of time-to-event data?

A

It biases estimates by excluding individuals who experienced the event before study entry

294
Q

What is the significance of “non-differential misclassification” in epidemiological studies?

A

It generally biases results toward the null, weakening observed associations

295
Q

How can “confounding by indication” distort treatment effects in observational studies?

A

Treatment choices based on prognosis may confound associations with outcomes

296
Q

What is “non-collapsibility” and how does it affect interpretation of odds ratios?

A

The odds ratio can change with adjustment, even without confounding, complicating interpretation

297
Q

How does “transmission heterogeneity” influence the dynamics of infectious disease spread?

A

Variation in transmission rates among individuals affects outbreak potential and control strategies

298
Q

What is the role of “propensity score matching” in reducing bias in observational studies?

A

It equates groups on observed covariates to reduce confounding, allowing causal inference

299
Q

How can “overdispersion” affect the fit of Poisson regression models?

A

It leads to underestimated variance, resulting in overly narrow confidence intervals

300
Q

What is the consequence of “measurement error” in risk factor assessment?

A

It can lead to misclassification and biased estimates of exposure-outcome relationships

301
Q

How does “attrition bias” impact the validity of longitudinal studies?

A

Differential loss to follow-up can bias estimates if related to both exposure and outcome