surveys and cross sectional studies Flashcards
what is a survey
instrument for measuring something in a population - asking questions or taking measurements from sample in that population
cross sectional
take information from 1 point in time
prevalence studies - existing cases
descriptive or analytical if investigate association
distribution of factors can be describes in relation to time person place
use of x sectional stidies
prevalence
association between risk factor and disease
experience of patients
explore knowledge attitudes and beliefs of patients - relate to treatment regimes
may also look at continuous exposure and outcome - but these are followed up by complex analysis to avoid confounding
data collection
depend on the exposure or outcome being measured questionairres clinical examination investigation routine sources
analysis and interpretation
calculate prevalence
period prevalence includes new and old
association between exposure and disease - prevalence ratio
odds ratio
prevalence ratio =
prevalence in exposed/prevalence in unexposed
look at results
clear definitions of cases and controls
reasonable response rate
validated/ pioleted and tested questions - avoid measurement bias
validity of routine sources
known confounders measured and adjusted for
reverse causality
strengths
easy and quick
cheap
wide range of exposures and outcomes at the same time
regular surveys provide valuable snapshots
limitations
biased towards chronic illness rather than acute - only prevalent cases included
difficult to assess temporal relationship
test to determine significance of associations
chi squared