IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS. Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Slides:



Advertisements
Similar presentations
Case-control study 1: Design and odds ratio Preben Aavitsland (partly based on Epiet 2004)
Advertisements

SADC Course in Statistics Basic summaries for epidemiological studies (Session 04)
SEARO – CSR Training on Outbreak Investigation Two-by-Two Table Cornerstone in epidemiological research.
CHI-SQUARE(X2) DISTRIBUTION
KRUSKAL-WALIS ANOVA BY RANK (Nonparametric test)
1.We investigate an outbreak to put in place a surveillance system (Yes / no) 2.One of the objectives to investigate an outbreak is to identify the population.
Cohort Studies.
Principles of case control studies Part I Nature of the design of case control studies Odds ratio as the measurement of association Piyanit Tharmaphornpilas.
HSS4303B – Intro to Epidemiology
Categorical Data. To identify any association between two categorical data. Example: 1,073 subjects of both genders were recruited for a study where the.
Understanding real research 3. Assessment of risk.
Introduction to Risk Factors & Measures of Effect Meg McCarron, CDC.
MEASURES IN EPIDEMIOLOGY
Measures of Disease Association Measuring occurrence of new outcome events can be an aim by itself, but usually we want to look at the relationship between.
Relative and Attributable Risks. Absolute Risk Involves people who contract disease due to an exposure Doesn’t consider those who are sick but haven’t.
12.The Chi-square Test and the Analysis of the Contingency Tables 12.1Contingency Table 12.2A Words of Caution about Chi-Square Test.
Gene-Environment Interaction: Definitions and Study Designs
Chance Is the association causal? RR = 7 Detectives in the Classroom – Investigation 3-3: Chance.
1 The Odds Ratio (Relative Odds) In a case-control study, we do not know the incidence in the exposed population or the incidence in the nonexposed population.
Lesson #11 Relative Risk and the Odds Ratio. The risk of disease, given exposure, is: The risk of disease, given no exposure, is: The relative risk is.
BIOSTATISTICS 5.5 MEASURES OF FREQUENCY BIOSTATISTICS TERMINAL OBJECTIVE: 5.5 Prepare a Food Specific Attack Rate Table IAW PEF 5.5.
Cohort Studies Dr. Amna Rehana Siddiqui & Prof Awatif Alam Prof Ashry Gad Department of Family & Community Medicine September 2013.
Are exposures associated with disease?
Study Design and Analysis in Epidemiology: Where does modeling fit? Meaningful Modeling of Epidemiologic Data, 2010 AIMS, Muizenberg, South Africa Steve.
The Chi-Square Test Used when both outcome and exposure variables are binary (dichotomous) or even multichotomous Allows the researcher to calculate a.
Analytic Epidemiology
Cohort Study.
Absolute, Relative and Attributable Risks. Outcomes or differences that we are interested in:  Differences in means or proportions  Odds ratio (OR)
Hadpop Calculations. Odds ratio What study applicable? Q. It is suggested that obesity increases the chances on an individual becoming infected with erysipelas.
Analysis of Categorical Data
Measuring Associations Between Exposure and Outcomes.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 7: Gathering Evidence for Practice.
AETIOLOGY Case control studies (also RCT, cohort and ecological studies)
Evidence-Based Medicine 3 More Knowledge and Skills for Critical Reading Karen E. Schetzina, MD, MPH.
Hypothesis Testing Field Epidemiology. Hypothesis Hypothesis testing is conducted in etiologic study designs such as the case-control or cohort as well.
Measures of Association
Risk Concepts and Glossary. Cross-sectional study The observation of a defined population at a single point in time or time interval. Exposure and outcome.
1 Ch 11 Estimating Risk: Is There an Association? Table 11-1 A hypothetical investigation of a foodborne disease outbreak The suspect foods were identified.
SEARO – CSR Training on Outbreak Investigation Cohort and case-control studies Observational studies.
The binomial applied: absolute and relative risks, chi-square.
Measures of Association and Impact Michael O’Reilly, MD, MPH FETP Thailand Introductory Course.
Measuring Associations Between Exposure and Outcomes Chapter 3, Szklo and Nieto.
Risks & Odds Professor Kate O’Donnell. When talking about the chance of something happening, e.g. death, hip fracture, we can talk about: risk and relative.
ANalysis Of VAriance (ANOVA) Used for continuous outcomes with a nominal exposure with three or more categories (groups) Result of test is F statistic.
Case control & cohort studies
2 3 انواع مطالعات توصيفي (Descriptive) تحليلي (Analytic) مداخله اي (Interventional) مشاهده اي ( Observational ) كارآزمايي باليني كارآزمايي اجتماعي كارآزمايي.
Measures of disease frequency Simon Thornley. Measures of Effect and Disease Frequency Aims – To define and describe the uses of common epidemiological.
Relative and Attributable Risks
March 28 Analyses of binary outcomes 2 x 2 tables
Study Designs Group Work
Comparison of three Observational Analytical strategies
Lecture notes on epidemiological studies for undergraduates
Epidemiological Studies
بسم الله الرحمن الرحيم COHORT STUDIES.
Lecture 8 – Comparing Proportions
Class session 13 Case-control studies
Copyright © 2003 Delmar Learning, a Thomson Learning company
دانشگاه علوم پزشکی بوشهر دانشکده بهداشت
Ggjfتبغبغب باسمه تعالی اپیدمیولوژی بالینی مبحث: انواع مطالعات.
Chapter 18 Cross-Tabulated Counts
Prospective Cohort Study (Click or press Enter to follow animation)
Epidemiology The science of associations.
Tutorial 5 Use the Complete University Admission Data ( Dataset 17) to compare the admission rates for men and women within each department (e.g. By.
Measurements of Risk & Association …
What is it and how do we calculate it?
Measures of risk and association
Interpreting Epidemiologic Results.
Measures of Disease Occurrence
Risk Ratio A risk ratio, or relative risk, compares the risk of some health-related event such as disease or death in two groups. The two groups are typically.
Effect Modifiers.
Presentation transcript:

IN The Use of 2 by 2 Tables CAUSAL ASSOCIATIONS

Causality ASSOCIATION BETWEEN FACTOR AND HEALTH EVENT F+D+ ???

Causality ASSOCIATION APPARENT STATISTICAL CAUSAL

Epidemiologic Methods PROSPECTIVE OR COHORT F+ F- D+ D- TIME

Epidemiologic Methods F+ F- D+ D- TIME RETROSPECTIVE OR CASE-CONTROL

Epidemiologic Methods RISK ANALYSIS THE USE OF THE 2X2 TABLE D+D-TotalIR F+ F- Tot ab cd a+b c+d a+cb+dn a/(a+b) c/(c+d) (a+c)/n ARRR AR= (a/(a+b)-(c/(c+d))) RR= (a/(a+b))/(c/(c+d)))

Epidemiologic Methods RISK ANALYSIS THE USE OF THE 2X2 TABLE D+D-TotalIR F+ F- Tot ab cd a+b c+d a+cb+dn a/(a+b) c/(c+d) (a+c)/n RR(exact)= (a/(a+b))/(c/(c+d))) (PROSPECTIVE or COHORT)

EXERCISE: CASE Problem #2 Calf Mortality Exercise Given 300 calves born in corralsNo. dead calves born in barnNo. dead9 Crude mortality rateCMR % (corrals) Crude mortality rateBarn %

EXERCISE: CASE Problem #2 2 X 2 TableProspective design D+ D- total Incidence rate (IR) Corral % Barn % Relative Risk (exact)Rre Attributable RiskAR %

Epidemiologic Methods F+ F- D+ D- TIME RETROSPECTIVE OR CASE-CONTROL

Epidemiologic Methods RISK ANALYSIS THE USE OF THE 2X2 TABLE D+D-TotalIR F+ F- Tot ab cd a+b c+d a+cb+dn RR(approx)= Odds Ratio=(a*d/c*b) (RETROSPECTIVE or CASE CONTROL) UNKNOWN

EXERCISE: CASE Problem #2 2 X 2 TableRetrospective design D+ D- total Corral Barn Odds RatioOR4.5

Causality F+D+ STATISTICAL ASSOCIATION SA USE OF THE CHI SQUARE

Causality STATISTICAL ASSOCIATION THE 2 by 2 TABLE. D+D- F+ F- ab cd a+b c+d a+c b+dn ChiSq= (ad-bc)**2n (a+c)(a+b)(b+d)(c+d) NULL HYPOTHESIS ALTERNATE HYPOTHESIS Level of sig (a=0.05) df for 2X2= 1 FOR DECISION Compare ChiSquare calculated To ChiSquare tabulated (3.84) Exposure to Risk Disease Outcome

IN The Use of 2 by 2 Tables OUTBREAK INVESTIGATIONS

Causality ASSOCIATION BETWEEN Food Eaten & Disease (outcome) F+D+ ???

Epidemiologic Methods Food-Borne Outbreak F+ F- D+ D- Eaten Risky Food Not Eat Risky Food Outcome Disease OUTCOME NO DISEASE

Causality STATISTICAL ASSOCIATION THE 2 by 2 TABLE. D+D- F+ F- ab cd a+b c+d a+c b+dn ChiSq= (ad-bc)**2n (a+c)(a+b)(b+d)(c+d) NULL HYPOTHESIS ALTERNATE HYPOTHESIS Level of sig (a=0.05) df for 2X2= 1 FOR DECISION Compare ChiSquare calculated To ChiSquare tabulated (3.84) Exposure to Risk Disease Outcome