Streiner D L
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario.
Can J Psychiatry. 1998 Mar;43(2):173-9. doi: 10.1177/070674379804300207.
This article introduces some of the terms used in psychiatric epidemiology when measuring the number of people in a community who have a disorder and the possible effects of prevention programs. Incidence is a count of the number of new cases of a disorder that occur within a defined time period. It can be expressed as either the proportion of people who can be expected to develop the disorder within that period (the cumulative incidence) or as the rate per person years (the incidence density). Various indices of prevalence refer to the total number of people who have the disorder at any one time, whereas indices of risk are used to define the probability of developing the disorder. The etiologic fraction is the proportion of cases due to a specific cause, and thus it reflects the maximum degree to which primary prevention programs can be effective.
本文介绍了精神疾病流行病学在衡量社区中患有某种疾病的人数以及预防项目可能产生的影响时所使用的一些术语。发病率是指在特定时间段内出现的某种疾病新病例数。它既可以表示为在该时间段内预计会患上该疾病的人群比例(累积发病率),也可以表示为每人每年的发病率(发病密度)。患病率的各种指标指的是在任何一个时间点患有该疾病的总人数,而风险指标则用于定义患上该疾病的概率。病因分数是由特定原因导致的病例所占的比例,因此它反映了一级预防项目可能达到的最大有效程度。