A simple method of determining confidence intervals for population attributable risk from complex surveys

2007 ◽  
Vol 26 (17) ◽  
pp. 3229-3239 ◽  
Author(s):  
Sundar Natarajan ◽  
Stuart R. Lipsitz ◽  
Eric Rimm
Keyword(s):  
Confidence Intervals ◽  
Population Attributable Risk ◽  
Attributable Risk ◽  
Simple Method ◽  
Complex Surveys

scholarly journals Secular trends of population attributable risk of overweight and obesity for hypertension among Chinese adults from 1991 to 2011

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jian Gou ◽  
Huiying Wu
Keyword(s):  
Population Attributable Risk ◽  
Attributable Risk ◽  
Secular Trends ◽  
Overweight And Obesity ◽  
Regression Coefficients ◽  
Chinese Adults ◽  
Intervention Effect ◽  
Obesity Epidemic ◽  
The Past ◽  
Increasing Trend

AbstractWe determined if the increasing trend in hypertension can be partly attributed to increasing prevalence of overweight/obesity in China over the past two decades. Data were collected from 1991 to 2011 and the population attributable risk (PAR), which is used to estimate the intervention effect on hypertension if overweight/obese, were eliminated. Linear regression was used to evaluate the secular trends. The age-standardized prevalence of overweight and obesity increased by 26.32% with an overall slope of 1.27% (95% CI: 1.12–1.43%) per year. Hypertension also increased by 12.37% with an overall slope of 0.65% (95% CI: 0.51–0.79%) per year. The adjusted ORs of overweight/obesity for hypertension across the survey years remained unchanged; however, the trend in PAR increased steadily from 27.1 to 44.6% with an overall slope of 0.81% (95% CI: 0.34–1.28%) per year (P = 0.006). There was no significant gender difference in the slopes of increasing PAR, as measured by regression coefficients (β = 0.95% vs. β = 0.63% per year, P = 0.36). Over the past two decades, the increase in the prevalence of hypertension in China was partly attributed to the overweight/obesity epidemic, which highlights the importance of controlling weight and further reducing the burden of hypertension.

scholarly journals Population attributable risk of aflatoxin-related liver cancer: Systematic review and meta-analysis

2012 ◽  
Vol 48 (14) ◽  
pp. 2125-2136 ◽  
Author(s):  
Yan Liu ◽  
Chung-Chou H. Chang ◽  
Gary M. Marsh ◽  
Felicia Wu
Keyword(s):  
Systematic Review ◽  
Liver Cancer ◽  
Meta Analysis ◽  
Population Attributable Risk ◽  
Attributable Risk

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMILIHAN DUKUN BERANAK SEBAGAI PENOLONG PERSALINAN PADA PESERTA JAMINAN KESEHATAN

2019 ◽  
Vol 10 (2) ◽  
pp. 211-219
Author(s):  
Imelda Diana Marsilia
Keyword(s):  
Population Attributable Risk ◽  
Case Control ◽  
Attributable Risk ◽  
Chi Square

Program Jaminan Kesehatan  merupakan salah satu upaya dalam penurunan Angka Kematian Ibu (AKI)  di Indonesia. Cakupan persalinan oleh tenaga kesehatan di Indonesia masih di bawah target yang diharapkan, termasuk di Kecamatan Babakan Madang Kabupaten Bogor yang hanya mencapai 66,4 % tahun 2011.  Cakupan persalinan oleh dukun beranak peserta jaminan kesehatan di Puskesmas Babakan Madang  adalah 40% pada tahun 2011. Tujuan  penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan pemilihan dukun beranak sebagai penolong persalinan pada peserta jaminan kesehatan di wilayah kerja Puskesmas Babakan Madang Kabupaten Bogor. Metode  Penelitian ini merupakan penelitian analitik dengan pendekatan Case Control. Penelitian dilakukan terhadap 122 orang ibu bersalin pada periode Juli sampai dengan Desember  2012 dibagi dalam 2 kelompok 61 orang kelompok kasus (dukun beranak) dan 61 orang kelompok kontrol (bidan). Analisis data menggunakan uji  chi square  dan uji regresi logistik ganda dengan tingkat kemaknaan (p0,05), dan analisis PAR (population attributable risk).  Hasil penelitian menunjukkan faktor yang berhubungan  dengan pemilihan dukun beranak sebagai penolong persalinan  secara signifikan adalah pengetahuan ibu p=0,003, sikap p= 0,007, pendidikan ibu p= 0,001, Sosial Budaya p= 0,001, penghasilan keluarga p=0,001, dukungan suami p=0,018 sedangkan keterjangkauan layanan, umur, paritas, pekerjaan tidak berhubungan (p0,05). Faktor dominan yang berhubungan dengan keputusan memilih penolong persalinan berdasarkan analisis multivariabel adalah  sosial budaya (OR= 5,644  ;95%CI=  2,016-15,797).  Penelitian ini memberikan kesimpulan bahwa pengetahuan,  Sikap,  pendidikan ibu, sosial budaya penghasilan keluarga dan dukungan suami yang tidak mendukung memilih dukun beranak sebagai  penolong persalinan pada peserta jaminan kesehatan. Perlu dilakukan upaya peningkatan pengetahuan, pendidikan, dukungan suami dan sosial budaya yang mendukung serta pendidikan bidan gratis bagi anak dukun beranak.  Kata Kunci : Pemilihan penolong persalinan, Dukun beranak, Jaminan kesehatan

scholarly journals Population-Attributable Risk Estimates forCampylobacterInfection, Australia

2009 ◽  
Vol 15 (5) ◽  
pp. 851-852
Author(s):  
Russell J. Stafford ◽  
Philip J. Schluter ◽  
Martyn D. Kirk ◽  
Andrew J. Wilson
Keyword(s):  
Population Attributable Risk ◽  
Attributable Risk ◽  
Risk Estimates

Evaluation of the Epidemiologic Efficacy of Eradicating Helicobacter pylori on Development of Gastric Cancer

2019 ◽  
Vol 41 (1) ◽  
pp. 97-108 ◽  
Author(s):  
Fujiao Duan ◽  
Chunhua Song ◽  
Jintao Zhang ◽  
Peng Wang ◽  
Hua Ye ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Helicobacter Pylori ◽  
Population Attributable Risk ◽  
Eradication Therapy ◽  
Attributable Risk ◽  
Chinese Patients ◽  
Controlled Trials ◽  
Mixed Effect ◽  
H Pylori ◽  
Development Of Gastric Cancer

Abstract Eradication of Helicobacter pylori colonization has been reported to affect the progression of gastric cancer. A comprehensive literature search was performed from 1997 to 2017 using electronic databases. All randomized controlled trials (RCTs) and nonrandomized controlled trials (non-RCT) evaluated the effect of H. pylori eradication on development of gastric cancer. Four RCTs and 9 non-RCTs were included (n = 40,740 participants; 321,269 person-years). Overall, H. pylori eradication therapy was associated with a significantly reduced risk of gastric cancer (incidence rate ratio (IRR) = 0.52, 95% confidence interval (CI): 0.41, 0.65). Results of mixed-effect Poisson regression meta-analysis were similar to those of traditional meta-analyses. In stratified analyses, the IRRs were 0.59 (95% CI: 0.41, 0.86) in RCTs and 0.48 (95% CI: 0.36, 0.64) in non-RCTs. The IRRs were 0.45 (95% CI: 0.34, 0.61) in patients and 0.63 (95% CI: 0.44, 0.90) in the general population. Moreover, the relative risk reduction was approximately 77% on the development of noncardiac gastric cancer with H. pylori eradication therapy in China. Attributable risk percentage and population attributable risk percentage for Chinese patients were 77.08% and 75.33%, respectively, and for Japanese patients were 57.80% and 45.99%, respectively. H. pylori eradication therapy reduces the risk of noncardiac gastric cancer development. The findings indicate the importance of early intervention with H. pylori eradication therapy from the perspective of epidemiology.

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