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Public Health Research and Practice Midterm
Key Terms
81
Anthropology
Undergraduate 2
03/06/2012

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Term
Public Health Model (4 steps)
Definition
1. Define the problem
2. Identify Risk & Protective Factors
3. Develop and test prevention strategies
4. Assure widespread conditions
Term
case definition
Definition
clear definition of an infection or disease that includes the person, place, and time
Term
Steps in planning a surveillance system
Definition
1. establish objectives
2. develop case definitions
3. determine data source or collection mechanism
4. develop data collection instruments
5. field-test methods
6. develop analytic approach
7. develop dissemination mechanism
8. evaluate surveillance system
Term
distribution
Definition
patterns of disease within or across defined populations
Term
determinants
Definition
factors that influence the prevention, occurrence, control, and outcome of disease
Term
prevalence
Definition
number of existing cases
Term
incidence
Definition
number of new cases
Term
incidence density
Definition
rate at which new cases occur during a defined period
Term
cumulative incidence
Definition
measures the proportion of individuals who develop the disease within a defined period (risk for an average population member)
Term
crude rates
Definition
actual disease frequency for a population
Term
category-specific rates
Definition
crude rates for subgroups
Term
adjusted/standardized rates
Definition
computed to remove effect of certain variables to allow for meaningful comparison (either compare category-specific rates or adjust crude rates)
Term
experimental study designs
Definition
randomized controlled trial
group randomized trial
Term
observational study designs
Definition
cohort
case-control
cross-sectional
Term
quasi-experimental study designs
Definition
pre-test or post-test with odds ratio without external controls
Term
correlational study
Definition
correlates disease rates with specific characteristics based on aggregate data within or across populations
Term
ecological fallacy
Definition
inappropriate conclusions regarding exposure-disease relationships
Term
case report
Definition
detailed clinical description of the characteristics of a new disease or impaired condition in a single patient
Term
case series
Definition
a collection of case reports that focus on patients with the same disease
Term
focus groups
Definition
qualitative, dependent on observer, can be used to generate but not test hypotheses, looking for overall themes
Term
odds ratio
Definition
(a*d)/(b*c)
a reliable estimate of RR if outcome <10%
Term
relative risk
Definition
aka prevalence ratio
(a/(a+b))/(c/(c+d))
Term
attributable risk
Definition
excess risk attributable to exposure
(a/(a+b))-(c/(c+d))
Term
attributable risk percent
Definition
proportion of disease attributable to exposure ((CIe-CIu)/CIe) x 100%
Term
population attributable risk
Definition
estimate of the excess risk in the total population attributable to exposure CIt-CIu=PAR
Term
component causes
Definition
exposures/risk factors that collectively produce an effect
Term
sufficient cause
Definition
minimal set of exposures to inevitably produce an effect
Term
necessary cause
Definition
an exposure that is required for occurrence of the effect and whose presence is always followed by the effect
Term
Hill Criteria of causation
Definition
time sequence, strength of association, dose-response (biological gradient), consistency upon repetition
Term
endemic
Definition
a disease is constantly present in a geographic area or population
Term
epidemic
Definition
occurrence in a community or region of a group of illnesses of similar nature, clearly in excess of normal expectancy, and derived from a common or propagated source
Term
pandemic
Definition
epidemic of disease spreading throughout the human population across the globe
Term
infectivity
Definition
propensity for transmission
Term
pathogenicity
Definition
propensity for an agent to cause disease/clinical symptoms
Term
virulence
Definition
propensity for an agent to cause severe disease (degree of pathogenicity)
Term
direct transmission
Definition
person to person
Term
indirect transmission
Definition
airborne, vehicle-born (water or fomite), vector-borne
Term
case fatality rate
Definition
percentage of new cases resulting in deaths
Term
mortality rate
Definition
percentage of deaths among pop at risk
Term
attack rate
Definition
number ill/number well
Term
herd immunity
Definition
decreased probability that a group will develop an epidemic because proportion of immune individuals reduces chance of contact between infected and susceptible persons
Term
common source outbreak
Definition
exposure of a group of susceptible individuals continuously or intermittently to a common harmful source (gradual rise)
Term
point source outbreak
Definition
exposure period relatively brief, all cases occur within one incubation period, up then gradually downward
Term
propagative outbreak
Definition
exposure to a pathogen that is transferred person-person; last longer with multiple waves of infection
Term
mixed outbreak
Definition
single, common exposure followed by propagative spread
Term
Healthy People 2020
Definition
a set of specific, measurable objectives with targets to be achieved over the decade

number of topic areas has grown from 15 to 39
Term
FINER
Definition
criteria for a good research question
Feasible
Interesting
Novel
Ethical
Relevant
Term
translational research
Definition
lab>clinical study>health care practices
Term
sections of an academic paper
Definition
abstract
intro
methods
results
discussion
references
Term
peer review process
Definition
author submits manuscript to journal, received by editor, if approved then researchers are selected to approve manuscript, if each reviewer accepts a deadline is set for reviews, editor receives reviews, author receives reviews and decision (accepted/revise/rejected)
Term
single-blinded review
Definition
reviewer identity hidden from author
Term
double-blinded review
Definition
author and reviewer identities hidden (Sokal affair)
Term
bias
Definition
any systematic error in the design, conduct, or analysis of a study that results in an inaccurate estimate of an exposure's effect on the risk of disease
Term
selection bias
Definition
due to systematic differences in characteristics between those selected for a study and those not
Term
information bias
Definition
a flaw in measuring exposure or outcome data that can result in inaccurate information for comparison of study subjects; reduced by good instruments and training
Term
confounding bias
Definition
distorts relative risk, occurs when other risk factors are not evenly distributed between study populations
Term
correlation study
Definition
cannot determine causality, only positive or negative relationship
Term
cross-sectional
Definition
exposure and outcome simultaneously, cannot determine causality, use Odds Ratio
Term
case-control
Definition
retrospective, select cases and controls, determine exposure, can determine causality, odds ratio
Term
cohort
Definition
prospective, select pop at risk, follow to identify outcome/no outcome, can determine causality, relative risk
Term
randomized controlled trial
Definition
prospective, select pop at risk, randomize exposure, follow to identify outcome, can determine causality, relative risk
Term
sampling
Definition
process of selecting a number of individuals for a study in such a way that the individuals represent the larger group from which they were selected
Term
sampling error
Definition
variation in variables that naturally occurs when selecting a sample
Term
simple random sample
Definition
each individual has an equal chance of being selected
Term
stratified sample
Definition
identified subgroups are represented in the same proportions as in the population
Term
cluster sample
Definition
randomly selecting intact groups
Term
systematic sampling
Definition
selecting every nth name
Term
convenience sampling
Definition
taking whoever is easily available
Term
purposive sampling
Definition
selecting based on some experience or knowledge; most qualitative research samples
Term
quota sampling
Definition
gathering individuals based on defined characteristics and quotas
Term
intensity sampling
Definition
dose-response; permit study of the effect of different levels of exposure
Term
homogeneous sampling
Definition
participants similar in exposure, perspective, outlook
Term
criterion sampling
Definition
selecting those that meet a pre-defined characteristic
Term
snowball sampling
Definition
selecting individuals who can identify others who would be good for the study
Term
random purposive sampling
Definition
randomly selecting participants when purposively selected subjects are too numerous
Term
vulnerable populations
Definition
children, wards of the state, students, employees, prisoners, pregnant women, mentally-handicapped
Term
types of qualitative research
Definition
participant observation, in-depth interviews, focus groups, document analysis
Term
formative research
Definition
determine knowledge barriers before finalizing an intervention
Term
descriptive
Definition
providing detailed info including transcripts, notes, photos, etc.
Term
saturation
Definition
point at which, if one continued collecting data, no new major themes would be identified
Term
mixed methods
Definition
using quantitative and qualitative methods together
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