02 May 1. Using the key below, classify each of the following descriptions of epidemiologic studies
1. Using the key below, classify each of the following descriptions of epidemiologic studies
according to (40 marks):
a. Study type (1 mark each)
• Descriptive Cross-sectional Study
• Analytic Ecological Study
• Analytic Cross-Sectional Study
• Case-Control Study
• Retrospective Cohort Study
• Prospective Cohort Study
• Longitudinal study
b. Give reasons for your choice of study type (2 marks each).
c. Name the measure of frequency (incidence or prevalence including type of prevalence
(point or period) and type of incidence (cumulative or rate)) or the measure of association
(rate ratio, odds ratio etc) that would be appropriate to use for that study type (1 mark
each).
i. A study examined whether changes in the share of people living in relative
poverty in a municipality were linked to changes in the use of antidepressants
based on data from prescription register of the Social Insurance Institution of
Finland in several Finnish municipalities between 1995 and 2010. Findings
indicate more young adult females used antidepressants in municipalities where
relative poverty had increased, suggesting an association between relative
poverty and antidepressant use.
ii. Analysis of existing data from the Health Insurance Database for Catastrophic
Illness Patients in Taiwan found women with breast cancer who were morphine
users were 1.24 times more likely to suffer from type two diabetes mellitus than
non-morphine users (95% CI = 1.04–1.49). The study included 31,112 women
with breast cancer without a history of type two diabetes mellitus during the
period 2000–2005. Women were divided into groups based on their exposure
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