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Oddratio or Relative Risk For Cross Sectional Data PDF
Oddratio or Relative Risk For Cross Sectional Data PDF
1
© International Epktemiotogical Association 1994 Printed in Great Britain
201
202 INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
only be used for diseases with short and well-defined TABLE 1 Mother's knowledge of developmental screening according
risk periods, in which case the most logical effect to her educational attainment
measure is the PRR.6 (If such a condition were studied
longitudinally, the closed cohort design would likely be Educational attainment
employed, which gives the cumulative incidence ratio,
or incidence relative risk). Also, the cross-sectional Know correctly? Primary Secondary Tertiary
study is used mostly for non-aetiological research such
as health care planning and resource allocation, in Yes 11(15.5%) 44(41.9*) 13(86.6%)
which case the prevalence rate is more germane than No 60 61 2
the incidence rate and consequently there will be no
Total 71 105
reason to use the POR. This means that logistic regres-
sion, which is often employed for the analysis of cross-
sectional data, is inappropriate.
TABLE 2 Crude and adjusted' prevalence rate ratio (relative
Therefore, what is needed for cross-sectional data, is likelihood) of correct knowledge of development screening according
a statistical model that estimates PRR rather than to educational attainment: proportional hazards model
POR yet preserves the virtues of logistic regression,
viz., statistical adjustment of several confounders and Crude Adjusted
assessment of effect modification based on modest
study size. Cox's proportional hazards model was Educational
originally developed for the estimation of the condi- attainment Rate ratio (95% CI) Rate ratio (95% Cl)