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Descriptive Epidemiology

- Clarifies occurrence of
disease according to the Aims of Descriptive Epidemiology
variables of person (who is 1.) permit evaluation of trends
affected), place (where the in health and disease
condition occurs), and time 2.) provide a basis for planning,
(when and over what time provision, and evaluation of
period the condition has health services.
occurred.) 3.) Identify problems to be
- Provides valuable studied by analytic methods
information of formation and suggest areas hat may
for the prevention of be fruitful for investigation.
disease, design of
interventions, and conduct 3 Types of Descriptive
additional of research Epidemiology Studies

Descriptive Epidemiology Study 1.) Case report


- Concerned with - accounts of single
characterizing the amount occurrence of a noteworthy
of distribution of health and health – related incident or
disease within the small collection of such
population. events
- Focused in investigations 2.) Case series
into a questions raised. - larger collection of cases of
disease, often grouped
consecutively and listing
common features such as
the characteristics of
affected patients.

3.) Cross – sectional studies


- defined as one that examine
the relationship between
disease ( or other health
related characteristics) and
other variables of interest
as they exist in defined
population at one particular
time.
- Is a type of prevalence
study in which exposures
and distribution of disease
are determined at the same
time, although it is not
imperative for the study to
include both exposure and
disease?
- Used to formulate
hypotheses that can be
followed up in analytic
studies.
 Analytic Epidemiology is
concerned with testing
hypothesis in order to
answer the questions Age
why and how. - Most important factor to
consider when one is describing
Examples of person the occurrence of virtually any
variables are: disease or illness because age
-Age specific disease rates usually show
-Sex greater variation than rates
-Race defined by almost any other
-Socioeconomic study personal attribute.
-Marital status
-Nativity Sex
-Migration - numerous epidemiologic
-Religion studies have sown sex
differences in a wide scope
of health phenomena,
including mortality and
morbidity.
Race
- it is ambiguous
characteristics that tend to
overlap with nativity and  Person’s income level
religion.  Education level
 Type of occupation
Nativity  A Three-factor measure
-refers to the place of origin of would classify persons with
the individual or his or her high SES as those at the
relatives. upper levels of income,
education and employment
Common subdivision of used status.
in epidemiology:  The social class gradient is
 foreign born a variability in SES from
 native born high to low and vice versa
and it is strongly as
Major Categories of Race associated with levels of
 White, black or African morbidity and mortality.
American
 American Indian Health Disparities
 Alaska Native - Refers to differences in the
 Asian occurrence of disease and
 Native Hawaiian adverse health conditions in
the population.
The responses one elicits from - An example is cancer health
such a question may not be disparities it defined as:
consistent because:  Adverse differences
 Individuals may change in cancer incidence
ethnic or racial self-identity (new cases)
or respond differently on  Cancer death
different occasions (mortality)
 Depending their perception  Cancer survivorship
of the intent of the race  Burden of cancer or
question. related health
conditions
Socioeconomic Status African Americans
- it is a descriptive term for a - Have he highest age
person’s position in society. adjusted over all cancer
incidence and death rates
Three interrelated dimensions:
with four other racial 2.) Urban – Rural
groups. - Urban Disease and causes
of mortality are more likely
Examples of comparisons to be those spread by one
according to place: person to person contact,
1.) International crowding, and inner city
2.) National poverty or associated with
3.) Urban-rural urban pollution.
4.) Localized Patterns Disease
Agriculture
1.) International - Major category of
 WHO employment for the
- which sponsors and residents of rural areas.
conducts ongoing
surveillance research 3.) Localized Patterns of
- Major source of information Disease
about international - Associated with specific
variations in rates of environmental conditions that
disease. may exist in a particular
 WHO Statistical Study geographic area.
- Portray international
variations in infectious and Dengue Fever
communicable diseases, - Viral disease transmitted by
malnutrition, infant a species of mosquito that is
mortality, suicide, and other present the border.
conditions.
Time Variables
Polio Examples:
- Viral infection that either is 1.) Secular Trends
asymptomatic or produces a 2.) Cyclic Fluctuation
nonspecific fever in the 3.) Point Epidemics
majority cases. 4.) Clustering
1% of cases
- Percentage of cases 1.) Secular Trends
produces a type of paralysis - Refer to gradual changes in
known as flaccid paralysis. the frequency of diseases
over long time periods.
Hypertension - Refers to a closely grouped
- Risk factor for stroke, series of events or cases of
cardiovascular disease, a disease or other health-
kidney disease and other related phenomena with
adverse health outcomes. well-defined distribution
patterns in relation to time
2.) Cyclic Trends or place or both.
- Increases and decreases in
the frequency of a disease 2 Types of clustering
or other phenomenon over  Spatial Clustering
a period of several years or - Indicates cases of disease
within a year. (often uncommon disease)
that occur in a specific
3.) Point Epidemic geographic region, a
- Many indicate the response common example being a
of a group of people cancer cluster.
circumscribed in place to a  Temporal Clustering
common source of - Denotes health events that
infection, contamination, or are related in time, such as
other etiologic factor to the development of
which they were exposed maternal postpartum
almost simultaneously. depression a few days after
a mother gives birth.
Vibrio
- Bacterium that can affect the Descriptive Epidemiology
intestines (producing enteric - Clarifies occurrence of
disease) and can cause wound disease according to the
infection. variables of person, place
and time.
Types of Vibrio - Demonstrate which heath
1) Vibrio Parahaemolyticus outcome should be
- Can cause intestinal prioritized for the design of
disorder. interventions.
2) Vibrio Vulnificus Descriptive Epidemiology Studies
- Can cause wound infections - It generates hypotheses
that can be explored by
4.) Clustering
analytic epidemiologic
studies.

Behavioral Risk factor


Surveillance System (BRFSS)
- example of an ongoing cross
sectional study of health
characteristics of the population.

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