HSCI 130 Lecture 4: Epidemiology

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Epidemiology is the study of the distribution and determinants of health related states in specified populations, and the application of this study to control health problems. Person-time = healthy years of population at risk (total population - cases/immune/lost)(time frame) + cases[(time frame 1 x case 1) + ( )] + immune[(time frame 1 x immune 1) + ( )] + lost[(time frame 1 x lost 1) +( )] Prevalence = individuals affected by disease in population at given point in time. Cumulative incidence = new individuals who become afflicted with disease in a given time period (attack rate) Incidence = rate of development of disease in population. Importance of sufficient cause is illustrated by rothman"s pies. Criticism: does not take into account upstream factors that influence particular combinations of "sufficient causes" the cooks of the pies in the baking metaphor.

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