Epidemiology: Cross-Sectional Study

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22 Questions

A ______ study examines a point in time and measures prevalence, not incidence of disease.

cross-sectional

Cannot adjust for confounds due to lack of ______ (due to lack of data on all potential covariates).

comparability

A ______ study compares exposures in disease cases versus healthy controls from the same population.

case-control

The main disadvantage of cross-sectional studies is that they measure ______, not incidence of disease.

prevalence

Cross-sectional studies are suitable for studying conditions that are relatively frequent with ______ duration of expression.

long

Cross-sectional studies allow for the study of ______ diseases/exposures.

several

One of the advantages of cross-sectional studies is that they are ______ in terms of cost and time.

low

The ______ sequence of exposure and effect is difficult to determine in cross-sectional studies.

temporal

Cohort studies allow for the ability to study several ______ for each exposure.

outcomes

A major disadvantage of cohort studies is that they are ______.

expensive

Randomized Controlled Trials (RCTs) are considered the ______ standard for epidemiological research.

gold

The primary purpose of randomization in RCTs is to reduce ______ bias in the allocation of intervention.

selection

Randomization helps to control for ______ and unknown factors in RCTs.

known

Cohort studies are not suitable for ______ diseases or diseases with long latency.

rare

A major limitation of cohort studies is the potential for ______ to follow-up.

loss

Blinding of participants and researchers in RCTs reduces ______ in assessment of outcomes.

bias

In a case-control study, exposure data is collected ______ and the outcome of disease is already known.

retrospectively

A major advantage of case-control studies is that they are ______ compared to other designs.

less time-consuming

Case-control studies are most feasible for disease outcomes that are ______.

rare

Cohort studies follow a condition or disease into the ______ to determine which risk factors are associated with it.

future

In a case-control study, the selection of study subjects can be influenced by ______ status.

disease

A disadvantage of case-control studies is that they are not suitable when the disease outcome for a specific ______ is not known at the start of the study.

exposure

Study Notes

Study Design Issues

  • Cannot adjust for confounds due to lack of comparability in cross-sectional studies
  • Missing data is a limitation in studies

Cross-Sectional Study

  • Surveys exposures and disease status at a single point in time
  • Measures prevalence, not incidence of disease
  • Suitable for studying nonfatal, chronic conditions
  • Not suitable for studying rare or highly fatal diseases
  • Advantages: low cost, convenient, less time-consuming, allows study of several diseases/exposures
  • Disadvantages: weaker design, difficult to determine temporal sequence of exposure and effect, prevalence is measured, not incidence

Case-Control Study

  • Compares exposures in disease cases versus healthy controls from the same population
  • Exposure data is collected retrospectively
  • Advantages: low cost, less time-consuming, most feasible design for rare disease outcomes
  • Disadvantages: not suitable when disease outcome for a specific exposure is not known, exposure measurements are taken after disease occurrence, disease status can influence selection of study subjects

Cohort Study

  • One or more cohorts are followed prospectively
  • Ability to study several outcomes for each exposure
  • Disadvantages: expensive, time-consuming, not suitable for rare diseases or diseases with long latency, no randomization, loss to follow-up

Randomized Controlled Trials (RCTs)

  • Experimental comparison study where participants are randomized to experimental or control groups
  • Best for studying the effect of a treatment/test
  • Gold standard for epidemiological research
  • Primary purpose of randomization: reduces selection bias in intervention allocation
  • Secondary purpose: ensures similar baseline characteristics in experimental and control groups
  • Advantages: randomization balances distribution of confounders, blinding reduces bias, detailed information collected at baseline and follow-up

This quiz covers the concepts of cross-sectional study, epidemiology, and data analysis, including limitations and challenges.

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