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Fundamentals of epidemiology - an evolving text - Are you looking ...

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Total<br />

population<br />

(n=1,000)<br />

Baseline 5-year follow-up Outcomes<br />

Exposed<br />

(n=400)<br />

Unexposed<br />

(n-600)<br />

(Assume no losses to follow-up, including deaths from other causes.)<br />

The above data are <strong>of</strong>ten summarized into a 2 x 2 table:<br />

5 - year incidence <strong>of</strong> disease<br />

Exposure<br />

Disease Yes No Total<br />

Yes 80 60 140<br />

No 320 540 860<br />

Total 400 600 1000<br />

Affected (n=80)<br />

Unaffected (n=320)<br />

Affected (n=60)<br />

Unaffected (n=540)<br />

Note on terminology: The four numbers (80, 60, 320, 540) in the interior <strong>of</strong> the table are referred to<br />

as the “cells”; the row <strong>an</strong>d column totals (140, 860, 400, 600) are referred to as the “marginals”. The<br />

cells are <strong>of</strong>ten referred to as “a”, “b”, “c”, <strong>an</strong>d “d” in zig-zag fashion beginning with the upper left<br />

cell.<br />

CI (crude) = 140 / 1000 = .14 (i.e., the overall 5-year cumulative incidence was 14/100)<br />

CI1 = 80 / 400 = .20, CI0 = 60 / 600 = .10<br />

CIR = CI1 / CI0 = .20 / .10 = 2.0 (the exposure was associated with a doubling <strong>of</strong> risk)<br />

CID = CI1 - CI0 = .20 - .10 = .10 (see below for interpretation)<br />

_____________________________________________________________________________________________<br />

www.epidemiolog.net, © Victor J. Schoenbach 2000 7. Relating risk factors to health - 178<br />

rev. 10/9/2000, 5/8/2001, 2/19/2002, 4/26/2002

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