Lecture 16: Measuring Disease Occurrence Flashcards
What are populations?
2
- A group of people in a geographical area
- A group of people with a common characteristic
What is first used to understand a disease in a population?
Measuring a diseases occurance
Why is the occurrence of disease measured in populations?
3
- To understand health status
- Trends in disease over time
- How disease impacts different groups
What are the measures of disease occurrence?
3
- Prevalence
- Incident proportion
- Incident rate
What is incident proportion sometimes referred to?
Cumulative incidence
What is prevalence?
The proportion of a population who HAVE the disease at a point in time
What does prevalence tell us?
The proportion of a population who have a disease at a certain point in time
Why do you want to consider the prevalence of a disease in a population?
To understand the burden of the disease and how to allocate resources
How do you calculate prevalence?
Number of people with the disease at a given point in time
/
Total number of people in the population at that point in time
When reporting prevalence what aspects must be expressed to interoperate findings?
(5)
- Measure of occurrence
- Exposure or outcome
- Population
- Time point
- Value
What are 2 limitations of prevalence?
- Difficult to assess the development of disease
- It is influenced by the duration of the disease
How does duration influence prevalence?
At a given time the prevalence can be higher due to cases lasting longer with out there being an actual higher amount of cases throughout the study
What is incidence?
The occurrence of NEW CASES of an outcome in a population during a specific period of follow-up
What is incidence proportion?
The proportion of an outcome-free population that develops the outcome of interest in a specific time period
How do you calculate incidence proportion?
Number of people who develop the disease in a specified period
/
Number of people at risk of developing the disease at the start of the period