Module 10 Flashcards

1
Q

what are the two components of epidemiology?

A
  • descriptive
  • analytic
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2
Q

what are the 5 Ws of epidemiology?

A
  • what
  • when
  • where
  • who
  • why/how
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3
Q

what is descriptive epidemiology?

A
  • Describes the DISTRIBUTION of health related stated and
    events
  • Describes the FREQUENCY and PATTERN of health-
    related states and events
  • Describes the WHO, WHERE, and WHEN
    • Person (who)
    • Place (where)
    • Time (when)
  • Communicates public health problem with the use of tables and graphs
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4
Q

types of trends in time: secular trends

A

long-term changes in health-related states or events

e.g. development of liver disease can take years on average from alcohol abuse

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5
Q

types of trends in time: short-term trends

A

brief, often unexpected increases in health-related states or events

e.g. salmonella outbreak

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6
Q

types of trends in time: cyclic trends

A

periodic increases and decreases in the occurrences of health-related states or events

e.g. influenza infection during flu season

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7
Q

Measures of Disease Occurrence: counts

A
  • Counts
  • Number (n)
  • Frequency (f)
  • Just one number
  • Answers the question of ‘how many?’
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8
Q

Measures of Disease Occurrence: ratios

A
  • Compares two things
  • Divide the numerator by the denominator
  • Expressed as X/Y or X:Y
  • Numerator may or may not be part of the denominator
  • The numerator and denominator may or may not be
    related
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9
Q

ratio: portion

A
  • Numerator is always a part of the denominator
  • Calculated as: p = A
    A+B
  • Usually calculated as a decimal e.g., 1/8 =.125
  • May be presented as a fraction e.g., 1/8
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10
Q

ratio: percentages

A
  • Numerator is always a part of the denominator
  • Just a proportion multiplied by 100 (1/8 =.125 = 12.5%)
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11
Q

ratio: rates

A
  • Frequency of an event in a population in a specified period of time
  • Population is always specified
  • Time period is always specified
  • A rate is a proportion that it represents the number of health-related states or events in a population over a specified period
  • Adjusted rates -> very important concept for calculating proportions and rates accurately
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12
Q

what are the four types of descriptive studies?

A
  1. Case reports
  2. Case series
  3. Cross-sectional surveys
  4. Ecologic studies
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13
Q

what does a case report involve?

A

a profile of a single individual

**provide evidence for larger scale studies (hypothesis generating)

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14
Q

what does case series involve?

A

a small group of patients with a similar diagnosis

**provide evidence for larger scale studies (hypothesis generating)

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15
Q

what is a cross-sectional survey?

A
  • Conducted over a short period of time (usually a few
    days or weeks) and the unit of analysis is the individual
  • There is no follow-up period
  • Also called prevalence survey
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16
Q

what does prevalence mean?

A

the number of a disease present in a population at a certain time

17
Q

what are cross-sectional survey strengths?

A
  • Can be conducted over a short period of time
  • Produces prevalence data
  • Can provide evidence of the need for analytic epidemiologic study
  • Can be used to study several associations at once
18
Q

what are cross-sectional study weaknesses?

A
  • Unable to establish sequence of events
  • Infeasible for studying rare conditions
  • Potentially influenced by response bias
19
Q

what are some cross-sectional surveys that are routinely conducted?

A
  • United States Census
  • Behavior Risk Factor Surveillance System
  • National Health Interview Survey
  • National Hospital Discharge Survey
20
Q

what is ecologic fallacy?

A

finding from populations may not apply to individuals

21
Q

what are the marker of health status? (5)(health indicators)

A
  • Physical or mental illness
  • Impairments or disabilities
  • Social well being
  • Service provision
  • Resource availability
22
Q

what are categories of health indicators? (7)

A
  • Health and well-being
  • Health resources
  • Collective justice
  • Social capital
  • Collective capacity
  • Resiliency
  • Functionality
23
Q

what is the goal of health surveillance?

A

to “watch over” the nation’s health

24
Q

what does public health surveillance use data for?

A

to monitor health problems to facilitate their prevention or control

25
Q

what can information gained from surveillance be used for?

A
  • planning disease control and prevention programs
  • policy making
26
Q

why surveillance?

A
  • Monitor
  • To identify sudden changes in occurrence
  • To follow long-term trends and patterns
  • To identify changes in risk factors
  • As a result, we identify whether
  • Does a health problem exist?
  • Is the problem getting worse?
27
Q

Surveillance for Evaluation

A
  • Health programs may be aimed at
  • Increasing vaccination levels
  • Reducing smoking
  • Increasing fruit and vegetable consumption
  • Increasing physical activity
  • Decreasing obesity
  • Increasing screening
28
Q

what are notifiable diseases in the US

A

Notifiable diseases are those of considerable public health importance because of their seriousness.
- Cause serious morbidity or death
- Have the potential to spread
- Can be controlled with appropriate intervention
* Federal and state mandated reporting