Epidemiology Basics
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Questions and Answers

What does epidemiology primarily study?

  • The genetic factors influencing disease
  • The nutritional habits of populations
  • The psychological effects of illness
  • The distribution and frequency of disease (correct)

Which factors are involved in the distribution of disease according to epidemiology?

  • Genetic predisposition and lifestyle choices
  • Person, place, and time (correct)
  • Geographical terrain and climate
  • Age, sex, and income level

Which of the following is NOT a purpose of epidemiology?

  • Create new medical treatments (correct)
  • Describe health of a population
  • Control distribution of disease
  • Predict occurrence of disease

What event significantly advanced the field of epidemiology in 1854?

<p>Identification of the cholera outbreak source (D)</p> Signup and view all the answers

According to the assumptions of epidemiology, which statement is accurate?

<p>Causal factors can be identified through systematic investigation (C)</p> Signup and view all the answers

What aspect of disease does epidemiology NOT focus on?

<p>The psychosocial impact of diseases (A)</p> Signup and view all the answers

Which of the following terms refers specifically to the number of new cases of a disease in a given time period?

<p>Incidence (A)</p> Signup and view all the answers

Which of the following describes prevalence in epidemiology?

<p>Total number of existing cases at a given time (A)</p> Signup and view all the answers

What is the primary focus of descriptive epidemiology?

<p>To determine the distribution of diseases (C)</p> Signup and view all the answers

What is meant by 'incident cases' in epidemiology?

<p>Individuals newly diagnosed with a disease (D)</p> Signup and view all the answers

How can prevalence be calculated?

<p>By dividing the number of individuals with disease at a specific time by the total population (A)</p> Signup and view all the answers

Which of the following best describes incidence?

<p>The frequency of new cases in a defined time period (D)</p> Signup and view all the answers

In a city with a population of 500,000, if 100,000 individuals are affected by a chronic disease, what is the prevalence of that disease?

<p>20% (C)</p> Signup and view all the answers

What distinguishes 'prevalent cases' from 'incident cases'?

<p>Prevalent cases have been diagnosed earlier compared to incident cases (A)</p> Signup and view all the answers

Which of the following is NOT a type of epidemiology mentioned?

<p>Reflective (C)</p> Signup and view all the answers

Why is prevalence often expressed as a percentage?

<p>To facilitate comparisons across different populations (D)</p> Signup and view all the answers

What does the incidence proportion represent?

<p>The number of new cases in a specified time divided by those at risk at the start. (B)</p> Signup and view all the answers

If there are 4 cases of disease over a period of 5 years in a population of 10, what is the incidence proportion?

<p>0.40 (C)</p> Signup and view all the answers

How is the incidence rate defined?

<p>The number of new cases divided by cumulative person-time. (B)</p> Signup and view all the answers

What is the unit of measurement commonly used for incidence rate?

<p>Cases per person-year. (C)</p> Signup and view all the answers

If one individual is observed for 2 years, how many person-years does that represent?

<p>2 person-years. (B)</p> Signup and view all the answers

What can the incidence rate be expressed as?

<p>0.01 cases per person-year. (A)</p> Signup and view all the answers

Which of the following represents the correct formula for calculating incidence proportion?

<p>Incidence Proportion = New cases / Population at risk. (C)</p> Signup and view all the answers

What does the term 'person-time' refer to in epidemiology?

<p>The cumulative time each individual is at risk during the study. (A)</p> Signup and view all the answers

What does incidence proportion specifically measure?

<p>The number of new cases over the total population at risk (B)</p> Signup and view all the answers

How does incidence rate differ from incidence proportion?

<p>It uses person-time in the denominator (D)</p> Signup and view all the answers

What is indicated by prevalence in health studies?

<p>Current disease burden in a population (D)</p> Signup and view all the answers

Which of the following best describes incidence?

<p>It assesses the frequency of new cases or disease onset (B)</p> Signup and view all the answers

Which term describes the cases that are measured at a specific point in time?

<p>Prevalent cases (D)</p> Signup and view all the answers

What type of information can incidence help assess?

<p>The risk of developing a disease (B)</p> Signup and view all the answers

Why is understanding both incidence and prevalence important in public health?

<p>They assist in planning effective healthcare delivery and targeting groups. (A)</p> Signup and view all the answers

What is a characteristic feature of prevalent cases?

<p>They incorporate new cases and existing cases in the population. (C)</p> Signup and view all the answers

What are the three types of epidemiology?

<p>Descriptive, analytic, experimental (B)</p> Signup and view all the answers

Which term refers to the measure of disease occurrence that indicates the total number of cases at a specific point in time?

<p>Prevalence (A)</p> Signup and view all the answers

What would be the measure of disease occurrence for 'every year, the number of individuals in the United States and northern Europe who are newly diagnosed with rheumatoid arthritis is approximately 40 per 100,000 persons'?

<p>Incidence (C)</p> Signup and view all the answers

How would one classify the statement 'by 2040, about 24% of Canadians will be diagnosed with arthritis' in terms of disease occurrence?

<p>Incidence (D)</p> Signup and view all the answers

What is a key difference between incidence and prevalence?

<p>Incidence measures new cases while prevalence measures total cases. (A)</p> Signup and view all the answers

What is a common misconception about the term 'rate' in epidemiology?

<p>It is synonymous with prevalence. (D)</p> Signup and view all the answers

Which of the following does NOT define the assumptions of epidemiology?

<p>Health-related states do not vary between populations. (C)</p> Signup and view all the answers

In terms of disease occurrence, what does a 'proportion' typically represent?

<p>The number of cases relative to the total population. (C)</p> Signup and view all the answers

Study Notes

Epidemiology

  • The study of how often diseases occur in populations and why.
  • It aims to understand and control diseases, predict their occurrence, and describe a population's health.

Key Concepts

  • Distribution of disease:

    • Person: Factors like age, sex, and race.
    • Place: Geographic location and environmental factors.
    • Time: Identifying trends and patterns over time.
  • Frequency of disease:

    • Incidence: Measures the number of new cases within a specific time period.
    • Prevalence: Measures the number of existing cases at a particular time.

Measures of Disease Occurrence

  • Rank: Categorizing diseases based on their severity or frequency.
  • Count: The number of cases in a specific population.
  • Ratio: Compares two numbers, often expressed as a proportion or rate.
    • Proportion: Ratio of cases to total population
    • Rates: Incidence and prevalence are types of rates that measure disease occurrence over a specific time.

Incidence vs. Prevalence

  • Prevalence (a proportion): Measures the proportion of a population affected by a disease at a specific time.

    • Formula: (Number of individuals with disease at a specific time) / (Number of individuals in the population)
    • Typically expressed as a percentage.
  • Incidence proportion (cumulative incidence): Measures the proportion of a population that develops a new disease over a specific period of time.

    • Formula: (Number of new cases of disease over a specific time) / (Number of individuals at risk for disease at the beginning of the time period)
    • Measured as a percentage or number of cases per population over a specific timeframe.
  • Incidence rate (incidence density): Measures the rate at which new cases of disease occur in a population.

    • Formula: (Number of new cases of disease over a period of time) / (𝚺 person-time)
    • Person-time: The amount of time each person in the study was at risk of developing the disease.

Important Differences

  • Incidence is a measure of the risk of developing a disease.
  • Prevalence is a measure of the burden of disease in a population.

Sample Question

  • The statement "nearly 60% of people with arthritis in Canada are women" represents prevalence, as it refers to the proportion of the population affected by arthritis at a particular time.

History

  • John Snow was a key figure in the development of epidemiology. His work tracking the 1854 cholera outbreak in London, England, linked the outbreak to a contaminated water pump on Broad Street.

Assumptions of Epidemiology

  • Disease does not occur randomly.
  • There are causal and preventative factors associated with disease. Identifying these factors requires a systematic investigation of different individuals, places, or times.

Types of Epidemiology

  • Descriptive epidemiology: Describes disease patterns based on person, place, and time.
  • Analytic epidemiology: Examines the cause and effect relationship between exposures and disease outcomes.
  • Experimental epidemiology: Involves controlled experiments to test hypotheses about disease causation.

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Description

Explore the fundamental concepts of epidemiology, focusing on the distribution and frequency of diseases within populations. Understand key measures such as incidence and prevalence, and learn about factors influencing disease trends over time and place.

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