Llorca J, Fariñas-Álvareza C, Delgado-Rodrígueza M
Cátedra de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad de Cantabria.
Gac Sanit. 2001 Jan-Feb;15(1):61-7. doi: 10.1016/s0213-9111(01)71519-1.
The goal of this paper is to revise the concept, estimation methods, and interpretations of the population attributable fraction. From the usual formula of the population attributable fraction: (Ip I₀) / Ip, where Ip is the cumulative incidence in the overall population, and I₀ is the cumulative incidence in the non-exposed group, other formulae are presented for use in exposures with more than two levels, and in the presence of confounding factors. Differences in estimation methods between cohort and case-control studies are discussed, and equations to estimate confidence intervals are displayed. Finally, some interpretations -including the concepts of «etiologic case» and «case in excess», suggested by Greenland and Robbins-, and some habitual errors are discussed.
本文的目的是修订人群归因分数的概念、估计方法及解释。从人群归因分数的常用公式:(Ip - I₀) / Ip(其中Ip是总体人群的累积发病率,I₀是非暴露组的累积发病率)出发,给出了适用于两个以上暴露水平及存在混杂因素时的其他公式。讨论了队列研究和病例对照研究在估计方法上的差异,并给出了估计置信区间的方程。最后,讨论了一些解释——包括格陵兰和罗宾斯提出的“病因性病例”和“超额病例”的概念——以及一些常见错误。