PBL Workshops Flashcards

(40 cards)

1
Q

Age standardisation: crude death rate

A

sum of all deaths/

total population/time

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2
Q

Age standardisation: age-specific death rate

A

no. of deaths for the age group/

pop size of age group/time

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3
Q

Age standardisation: expected deaths for age group

A

age specific death rate x

no of people in standard pop age group

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4
Q

Age standardisation: age-standardised death rate

A

sum of expected deaths/

standard pop/time

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5
Q

Treat of Waitangi: Languages

A

English and Maori

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6
Q

Treat of Waitangi: Which version sets precedence

A

Maori

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7
Q

Treat of Waitangi: Voluntary or involuntary

A

Voluntary

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8
Q

Treat of Waitangi: Maori population after signing

A

The proportion of Maori pop in NZ decreased rapidly after the signing of the Treaty

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9
Q

Treat of Waitangi: Hāpu

A

Most hāpu signed the Maori version of the Treaty

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10
Q

Is ethnicity always self-identified

A

Not always

In some cases, individuals (e.g. children) may not be able to identify it themselves

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11
Q

Ethnicity / race

A

Ethnicity is not the same as race

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12
Q

Newborn children and mother ethnicity

A

New born children don’t need to be recorded as same ethnicity as mother

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13
Q

How is consistency of ethnicity responses maintained

A

A standard ethnicity question is used for collecting ethnicity

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14
Q

Can ethnicity change over time

A

The ethnicity identified by individuals can be changed over time

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15
Q

Ethnicity coding: recording vs reporting

A

Must be recorded exactly how participants responded into a data warehouse
Can decide how to report individuals’ ethnicity

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16
Q

Main methods of reporting ethnicity

A

Prioritised output
Total response output
Sole/combination output

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17
Q

Ethnicity coding: different levels

A

Level 1: least detailed, 1 digit
Level 2: more detailed, 2 digits
Level 3: more detailed, 3 digits
Level 4: most detailed, 5 digits

18
Q

Ethnicity codes: level 1 - code, ethnicity, priority

A

1: European (6)
2: Maori (1)
3: Pacific (2)
4: Asian (3)
5: Middle Eastern/Latin American/African - MELAA (4)
6: Other ethnicity (5)
9: Residual categories (9)

19
Q

Ethnicity coding: minimum level recorded

20
Q

Numerator : denominator bias

A

A common error in health research where researchers need to adjust for the classification differences when 2 diff output methods are used
Numerator: prioritised output
Denominator: total response output

21
Q

Ethnicity coding: repetitions in level 3, 2, 1

A

Don’t report repeated codes twice

22
Q

Relative inequality and absolute inequality

A

Similar to RR and RD
Relative inequality: EGO/CGO
Absolute inequality: EGO - CGO

23
Q

How to interpret relative inequality

A

e.g. relative inequality = 2
x are twice as likely to smoke as y
OR x are 2 times more likely to smoke as y
OR x are 100% more likely to smoke than y (RRI = (RR - 1) x 100%)

If result < 1, interpret it in %, e.g. relative inequality = 0.25
x are 75% less likely to to smoke than y (RRR = (1 - RR) x 100%)

24
Q

How to interpret absolute inequality

A

e.g. absolute inequality = 10 per 100
There are 10 more smokers per 100 x than per 100 y
OR out of 100 x, there are 10 more smokers than out of 100 y

If result is negative, e.g. absolute inequality = -15 per 100
There are 15 fewer smokers per 100 x than per 100 y
OR out of 100 x, there are 15 fewer smokers than out of 100 y

25
What is the Haddon Matrix
A 3x3 brainstorming table/tool to help identify diff ways of intervening to address injury risks from multiple dimensions
26
Haddon Matrix: Columns
Host - the people at risk of experiencing an injury, or the caregiver of the at-risk person Agent/Vehicle - the people or an object that causes an injury or accident Environment - the contextual background (environmental determinant) associated with the injury, including aspects of the social/physical setting or health system
27
Haddon Matrix: Rows
Pre-event - anything that happened before the injury/accident Event - the moment when an injury/accident takes place and and at the site of injury Post-event - anything that happens after the injury/accident beyond the site of injury
28
Haddon Matrix - interventions
Interventions can either prevent injury occurring in the first place (pre-event), reduce the severity of injury at the time of accident (event) or reduce consequences of the injury after the event (post-event)
29
Haddon Matrix: Interventions focusing on host or humans in agent/vehicle column
Often have an educational orientation, e.g. training, advertising campaign
30
Haddon Matrix: Interventions focusing on inanimate objects in vehicle/agent column
Often have an engineering orientation
31
Haddon Matrix: Interventions in environment category
Often have either social, physical, or health system, e.g. Social - financing, legislation, setting up / creating new programs Physical - street design Health system - availability of trauma and rehabilitation systems, social attitudes and health
32
3rd dimension of Haddon Matrix: Criteria that could influence likelihood of success of various injury prevention interventions
Effectiveness Cost Freedom Equity
33
Haddon Matrix: 3rd dimension - effectiveness
Is there good evidence the intervention will work
34
Haddon Matrix: 3rd dimension - cost
What are the costs of implementing/enforcing the program/policy May also be relevant to consider who bears this cost as there may be equity issues Opportunity costs and cost-effectiveness included here
35
Haddon Matrix: 3rd dimension - freedom
Extent to which the freedom of a particular group is compromised can result in resistance to the intervention
36
Haddon Matrix: 3rd dimension - equity
Horizontal equity: an intervention that treats all people equally or in a universal way Vertical equity: a strategy that results in unequal treatment of people based on their unequal risk of injury
37
Haddon Matrix: 3rd dimension - stigmatisation
Concept that a program of policy shouldn't stigmatise people wherever possible
38
Haddon Matrix: 3rd dimension - preferences/acceptability
Of the proposed strategy to the affected community/individuals - importance of perceptions involved and socio-cultural context, norms and values
39
Haddon Matrix: 3rd dimension - feasibility
If effective, is it likely to be able to be implemented in the setting of relevance
40
Haddon Matrix: 3rd dimension - unforeseen adverse consequences
Relates to situations like fencing a property resulting in limited access to house from road and security concerns for vehicle or personal safety