Suchergebnisse

STUDY OBJECTIVE--The aim was to examine the extent to which random variation alone will produce differences in observed incidence rates between small areas which will affect measures of spatial clustering and estimates of relative risk. DESIGN--This was a study of changes in the pattern of spatial concentration of cancer incidence over a five year time period. A comparison was made of observed incidence rates for 34 tumour sites with randomly generated values and, where possible, with expected values derived from known relative risks. SETTING--Twenty six local government districts in the West of Scotland. MAIN RESULTS--A statistically significant relationship was observed between sample size and the stability of a summary measure of spatial concentration. Almost all observed highest:mean rate ratios were within the 95% confidence interval of the simulated distribution of these values. In three cases examined, both observed and simulated highest:lowest rate ratios were larger than those expected on the basis of known exposures to risk. CONCLUSIONS--In the absence of a prior hypothesis, small area analysis of epidemiological data for periods of less than 10 years will almost always give misleading results for all but the most common diseases.

the objective of the study was to investigate the relationship between childhood iq of parents and characteristics of their adult offspring. it was a prospective family cohort study linked to a mental ability survey of the parents and set in renfrew and paisley in scotland. participants were 1921-born men and women who took part in the scottish mental survey in 1932 and the renfrew/paisley study in the 1970s, and whose offspring took part in the midspan family study in 1996. there were 286 offspring from 179 families. parental iq was related to some, but not all characteristics of offspring. greater parental iq was associated with taller offspring. parental iq was inversely related to number of cigarettes smoked by offspring. higher parental iq was associated with better education, offspring social class and offspring deprivation category. there were no significant relationships between parental iq and offspring systolic blood pressure, diastolic blood pressure, cholesterol, glucose, lung function, weight, body mass index, waist hip ratio, housing, alcohol consumption, marital status, car use and exercise. structural equation modelling showed parental iq associated with offspring education directly and mediated via parental social class. offspring education was associated with offspring smoking and social class. the smoking finding may have implications for targeting of health education.