Epi200B_Homework1_Due_9AM_22Jan2024

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Glendale Career College *

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200A

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Industrial Engineering

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Feb 20, 2024

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Epi200B Winter 2024 Name: Homework 1 Due on 1/22 @ 9 am (Monday) Questions 1 and 2 address: Wilcox AJ et al. Folic acid supplements and risk of facial clefts: national population based case-control study. BMJ 2007 Mar 3;334(7591):464. 1. a) What is the objective of the study? b) Which study design did the investigators use for this purpose? c) What is the source population and the control-sampling design? d) List the main reasons why they chose this study design. 2. The potential confounders adjusted for in the study analyses did not change the observed estimates very much. Pick two from the list of potential confounders and discuss briefly how and why you agree or disagree with the investigator’s choice. Supply a DAG for each to illustrate and support your choice. 1
Epi200B Winter 2024 Name: Homework 1 Due on 1/22 @ 9 am (Monday) 3. Below is a table from a published article giving results of diesel emissions-lung cancer analyses: a) Describe in your own words the findings in the table. Be concise. b) Calculate the crude ORs for Gasoline (substantial level) and Diesel (substantial level) comparing the cases to each of the control groups (4 calculations in all) and briefly discuss the degree/direction of bias that was adjusted for in the analysis. 2
Epi200B Winter 2024 Name: Homework 1 Due on 1/22 @ 9 am (Monday) 4. An investigator wishes to perform a study to evaluate the effect of recent coffee drinking on the occurrence of premature ventricular contractions (PVC) while performing a crossword puzzle among adults aged 35- 65. Six hundred adults were categorized as either regular coffee drinkers or non-drinkers. Assume that race and sex are risk factors for PVC. The data is shown in table below. Race Sex Coffee drinker Non-coffee drinker Total with PVC Total subjects with PVC Total subjects White Male 80 90 3 10 100 Female 5 10 2 40 50 Asian Male 45 60 8 90 150 Female 30 240 3 60 300 Total 160 400 16 200 600 a. Estimate the crude risk ratio for PVC, comparing coffee drinkers with non-coffee drinkers. b. Estimate the 4 race-sex specific risk ratios. 3
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Epi200B Winter 2024 Name: Homework 1 Due on 1/22 @ 9 am (Monday) 5. A case-control study was done to examine the possible effect of recent oral contraceptive (OC) use on the occurrence of breast cancer in white women, ages 40-49. A group of 200 newly diagnosed cases living in upstate New York were compared with a group of 400 noncancer subjects selected from the same area. Since maternal history of breast cancer is known to increase the risk of the disease and since it is thought to be associated with OC use, this variable was treated as a confounder. The table below shows the number of cases and controls, by exposure status and maternal history of breast cancer. a. Estimate the crude odds ratio for breast cancer, comparing OC users with nonusers. b. Estimate the two stratum-specific odds ratios. 4