Avoiding bias from aggregate measures of exposure

被引:6
作者
Duffy, Stephen W.
Jonsson, Hakan
Agbaje, Olorunsola F.
Pashayan, Nora
Gabe, Rhian
机构
[1] Cancer Research UK Centre for Epidemiology, Mathematics and Statistics, Wolfson Institute of Preventive Medicine, London EC1M 6BQ, Charterhouse Square
[2] Cancer Research UK Centre for Epidemiology, Mathematics and Statistics, Wolfson Institute of Preventive Medicine, London
[3] Department of Radiation Sciences, Oncology, Umeå University, Umeå
[4] Department of Public Health and Primary Care, Institute of Public Health, University Forvie Site, Cambridge
关键词
D O I
10.1136/jech.2006.050203
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Sometimes in descriptive epidemiology or in the evaluation of a health intervention policy change, proportions exposed to a risk factor or to an intervention are used as explanatory variables in log-linear regressions for disease incidence or mortality. Aim: To demonstrate how estimates from such models can be substantially inaccurate as estimates of the effect of the risk factor or intervention at individual level. To show how the individual level effect can be correctly estimated by excess relative risk models. Methods: The problem and solution are demonstrated using data on prostate-specific antigen testing and prostate cancer incidence.
引用
收藏
页码:461 / 463
页数:3
相关论文
共 9 条
[1]  
Tulinius H., Day N.E., Johannesson G., Et al., Reproductive factors and risk for breast cancer in Iceland, Int J Cancer, 21, pp. 724-730, (1978)
[2]  
Ewertz M., Duffy S.W., Incidence of female breast cancer in relation to prevalence of risk factors in Denmark, Int J Cancer, 56, pp. 783-787, (1994)
[3]  
Kojo K., Jansen C.T., Nybom P., Et al., Population exposure to ultraviolet radiation in Finland 1920-1995: Exposure trends and a time-series analysis of exposure and cutaneous melanoma incidence, Environ Res, 101, pp. 123-131, (2006)
[4]  
Venables W.N., Ripley B.D., Modern applied statistics with S, (2002)
[5]  
Breslow N.E., Day N.E., The design and analysis of cohort studies, Statistical methods in cancer research, 2, (1987)
[6]  
Preston D.L., Lubin J.H., Pierce D.A., Et al., EPICURE user's guide, (1988)
[7]  
Lasserre V., Guihenneuc-Jouyaux C., Richardson S., Biases in ecological studies: Utility of including within-area distribution of confounders, Stat Med, 19, pp. 45-59, (2000)
[8]  
Howe G.R., McLaughlin J., Breast cancer mortality between 1950 and 1987 after exposure to fractionated moderate-dose-rate ionizing radiation in the Canadian fluoroscopy cohort study and a comparison with breast cancer mortality in the atomic bomb survivors study, Radiat Res, 145, pp. 694-707, (1996)
[9]  
Committee on Health Risks of Exposure to Radon, BEIR VI. Health effects of exposure to radon, pp. 69-85, (1999)