“ The need of absolute and relative
comparison. ”
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What is risk?
In epidemiology, risk has been defined as “the probability of an event during
a specified period of time”
The media often mentions risk when reporting on research, but this can
sometimes be misleading
Risk can be explained in terms of absolute or relative risk
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Absolute Risk
Measures the likelihood of a particular outcome, such as developing
a disease, over a period of time, it doesn’t guarantee it will
To determine the rates of disease by person, place, time
Absolute risk- Incidence and prevalence
According to Cancer Research UK, the absolute risk for developing bowel
cancer is around 5%, meaning 5 in every 100 people would be expected
to develop bowel cancer even without eating a large bacon sandwich
daily
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Relative Risk
Relative risk is a comparison between two groups of people, or in the
same group of people over time
It can be expressed as a ratio
To identify the risk factors for the disease
Relative Risk= Incidence among exposed/Incidence among non exposed
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Example of RR
In an outbreak of varicella (chickenpox) in Oregon in 2002, varicella was
diagnosed in 18 of 152 vaccinated children compared with 3 of 7
unvaccinated children. Calculate the risk ratio.
Risk of varicella among vaccinated children = 18 ⁄ 152 = 0.118 = 11.8%
Risk of varicella among unvaccinated children = 3 ⁄ 7 = 0.429 = 42.9%
Risk ratio = 0.118 ⁄ 0.429 = 0.28
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Absolute vs. Relative Risk
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Absolute and Relative
Risk
Example 1-
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Example 2 -
Attributable Risk-
If 1 in 10 individuals with exposure develops the disease= 10%
and 1 in 100 individuals without exposure develop the disease= 1%
Relative Risk= 0.1/0.01= 10
Interpretation
Therefore, an individual has a 10% chance of developing the disease with
exposure (absolute risk), a 1% chance of developing the disease without
exposure (absolute risk), and they are 10 times more likely to develop the
disease if they have exposure (relative risk)
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Risk communication
Framing of a risk statistic
- The size of the denominator and numerator can magnify risk perception
- In one study, those told a particular type of cancer kills 2,414 out of 10,000
rated it deadlier than another, killing 24.14 out of 100
How we communicate and interpret risk?
Media headlines saying something “doubles your risk of cancer”
It is vital that the general public understand the difference between
absolute and relative risk
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To Summarize
Relative risk Absolute risk
• are better to assess the efficacy • are better to take decisions about
of a treatment a treatment
• help us find disparities, like if one • perspective how much benefit an
group is having better outcomes individual is likely to have from a
than another treatment
• how much more likely one group • the likelihood or probability
is to experience an outcome than of a particular event, such
another as developing a disease
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