LESSON 6. THE
EMPIRICAL STAGE OF THE INVESTIGATION:
The design,
material and methods
1. MATERIAL AND METHODS.
Study population: Selection of
individuals in search of internal and external validity (avoid selection biases...).
Sampling: When it is not possible to incorporate the
entire study population. Shall be deemed:
• Sample
size: To make inference with a given error
• Representation:
simple, systematic, stratified, random sampling by clusters...
2. FREQUENCY MEASURES IN DESCRIPTIVE STUDIES.
What do we want to measure? :
The
situation at a given point in time: PREVALENCE MEASURE
What
is happening over a period of time: INCIDENCE.
Characteristics
of the incidence:
•
It is dimensional
•
Adopts values between 0 and infinity (it is a rate)
Accumulated incidence: calculates the risk
of a phenomenon occurring. It measures the average risk of suffering from the
disease.
- Measures the probability of having the event.
- It has no units. It is a
proportion (expressed as %)
- Values between 0 and 1 [0-100]
- Does not imply the period of
time: should always be expressed.
- There can be no losses in
follow-up
- All subjects are followed
throughout the period
Incidence rate or incidence density:
Refers to the speed with which the new cases appear with respect to the size of
the population. Often not all at-risk individuals (denominator) are followed
for the same time. If the different observation times ("times at
risk") of the different individuals are available, the incidence density
or incidence rate can be calculated.
3. FOLLOW-UP AND EXPERIMENTAL STUDIES.
4. CASE STUDIES AND CONTROLS. ESTIMATION OF THE
MAGNITUDE OF ASSOCIATION.
Two groups are
compared: one that presents the dependent variable and another control group
that does not present it. In these studies there is neither incidence nor
prevalence because it is investigated in its past.
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